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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216801935
Report Date: 06/27/2025
Date Signed: 06/27/2025 10:35:22 AM

Unsubstantiated


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
05/28/2025 and conducted by Evaluator Anthony Loera
COMPLAINT CONTROL NUMBER: 21-AS-20250528120138
FACILITY NAME:CAMBRIDGE HOUSEFACILITY NUMBER:
216801935
ADMINISTRATOR:BERMUDEZ, ROBINSONFACILITY TYPE:
735
ADDRESS:1420 CAMBRIDGE STREETTELEPHONE:
(415) 898-4262
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:6CENSUS: 6DATE:
06/27/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Kayla Hotchkiss, Manager Program Operations
Robinson Bermundez, Administrator		TIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff abandoned resident in care
INVESTIGATION FINDINGS:
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On 06/27/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegation. LPA arrived and met with Kayla Hotchkiss, Manager Program Operations, and Administrator, Robinson Bermundez. During the investigation, LPA conducted interviews, reviewed documents and made observations.

Complainant alleges, Staff abandoned resident in care.

Based upon department document review and interviews, information provided was contradicting with a lack of corroborating evidence to support the allegation. During the investigation LPA was informed no staff are present at the facility from 9am–2pm as residents are attending Day Program and usually get home around 2:30pm–3:00pm. Resident (R1) got home early from Day Program on the day of 05/12/2025 at approximately

continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 21-AS-20250528120138
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: CAMBRIDGE HOUSE
FACILITY NUMBER: 216801935
VISIT DATE: 06/27/2025
NARRATIVE
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2:08pm and was dropped off by the transportation bus but was put back on the bus and taken back to Day Program. At the time of R1 being dropped off no staff were present at facility as a staff member was running late for their shift and arrived shortly after R1 had left back on the bus, the driver of the transportation bus took R1 back onto the bus and continued their regular route and dropped R1 back off at Day Program when administrator of the facility came to pick up R1. Interviews conducted also revealed that R1s schedule is inconsistent on a day-to-day basis as they may attend YMCA, therapy, and other activities and arrive home at different times.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
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