216803577-2-5-2026-21-AS-KMOA-DRFM8C-20260219082251

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 216803577
Report Date: 02/05/2026
Date Signed: 02/05/2026 12:00:38 PM

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
12/31/2025 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20251231112418

FACILITY NAME:	WALDO HOUSE		FACILITY NUMBER:	216803577
ADMINISTRATOR:	LOTT, SHERI		FACILITY TYPE:	735
ADDRESS:	55 WALDO COURT		TELEPHONE:	(415) 271-3304
CITY:	SAUSALITO	STATE: CA	ZIP CODE:	94965
CAPACITY:	5	CENSUS: 5	DATE:	02/05/2026
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Administrator, Sheri Lott		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Staff do not provide adequate care and supervision to a client

INVESTIGATION FINDINGS:

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On 02/05/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings. LPA arrived and met with Administrator, Sheri Lott. During the course of the investigation, LPA reviewed records, conducted interviews, and made observations.

Compliant alleges, staff did not provide adequate supervision to clients in care.

Complainant stated staff did not provide adequate supervision to clients in care. Complainant stated they have seen staff sleeping during their scheduled shifts. Interviews conducted with one out of four staff stated they have witnessed staff sleeping during their shift. Three out of four staff stated they have not witnessed any staff sleeping during their shift. LPA was provided with conflicting information.

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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

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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