216801868-9-29-2026-21-AS-VBEI-DYGMFJ-20261002093421

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 216801868
Report Date: 09/29/2026
Date Signed: 09/29/2026 02:54:32 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/19/2026 and conducted by Evaluator Caitlynn Felias

COMPLAINT CONTROL NUMBER: 21-AS-20260819151158

FACILITY NAME:	ALMAVIA OF SAN RAFAEL		FACILITY NUMBER:	216801868
ADMINISTRATOR:	TRACY FREUDENDAHL		FACILITY TYPE:	740
ADDRESS:	515 NORTHGATE DRIVE		TELEPHONE:	(415) 491-1900
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94903
CAPACITY:	160	CENSUS: 134	DATE:	09/29/2026
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Executive Director, Tracy Freudendahl		TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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At approximately 9:20AM, Licensing Program Analyst (LPA) Felias arrived unannounced to continue a complaint investigation regarding the above allegation and met with Executive Director, Tracy Freudendahl.

During the course of the investigation, the Department made observations and conducted interviews. There is an allegation of "Personal Rights." Complaint alleged that the Executive Director brings their dog to work and allows the dog to be off leash and wander the facility. Per report, the residents do not like the dog because the dog snaps at residents and staff members.

Interview conducted with Executive Director (ED) stated that their dog, Winston, is a service dog. Per ED, they are currently taking care of Winston for a family member. ED further stated that they have not observed Winston to snap at residents, family members, or facility visitors.

Continued on LIC9099C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 21-AS-20260819151158

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ALMAVIA OF SAN RAFAEL	FACILITY NUMBER: 216801868
	VISIT DATE: 09/29/2026

NARRATIVE

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Continued from LIC9099

Interview conducted with Resident Care Director stated that they have not heard of any complaints about Winston, and have not observed Winston to snap at residents, family members, or facility visitors.

Resident interviews were conducted. 4 of 4 resident interviews stated that Winston was a wonderful dog and they did not see Winston snap, growl, or be aggressive towards themselves or others at the facility. These interviews revealed that Winston was primarily seen in the Executive Director's office. These interviews also stated that sometimes Winston would be in the facility lobby to greet residents, but he was always with the Executive Director.

During visit conducted on 08/27/2026, LPA observed two residents greet the Executive Director in their office and ask if they could pet Winston and give him treats. During these resident interactions, LPA observed that Winston did not bark, growl, lunge, or act in an aggressive way towards the residents. During the length of the visit, Winston stayed in the corner of the Director's office, or would sit by the Executive Director. It was also observed that Winston had their leash attached to them at all times and was not "off-leash".

Based on interviews conducted and observations made, this allegation is Unfounded. A finding of Unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026

LIC9099 (FAS) - (06/04)

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