216803577-5-14-2026-21-AS-VBEI-DUPMBY-20260603092839

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 216803577
Report Date: 05/14/2026
Date Signed: 05/14/2026 11:52:24 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
04/03/2026 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20260403102452

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:	05/14/2026
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Administrator, Sheri Lott		TIME COMPLETED:	12:05 PM

ALLEGATION(S):

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Staff member works while under the influence of drug, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care

Staff inappropriately speaks to resident

Staff does not treat resident with dignity and respect

INVESTIGATION FINDINGS:

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On 05/14/2026, 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 member works while under the influence of drug, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care, staff inappropriately speaks to resident, and staff does not treat resident with dignity and respect.

Compliant states that staff (S1) smokes marijuana in the staff bathroom during work hours that makes them sleepy, act strange, talk to themself, and sleeps on the couch. Interviews conducted with 4 out of 8 staff stated they are not aware of S1 smoking marijuana. Interview conducted with 1 out of 8 staff stated they have smelled marijuana from the staff bathroom but cannot say it was S1 who was smoking. Interview conducted with 1 out of 8 staff stated they have smelled marijuana on S1. LPA was unable to contact and interview 2 out of 8 staff. LPA was unable to gather enough evidence to say because of S1 smoking marijuana that it impairs their ability to provide adequate care and supervision.

continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

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-20260403102452

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: WALDO HOUSE	FACILITY NUMBER: 216803577
	VISIT DATE: 05/14/2026

NARRATIVE

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Compliant stated that S1 speaks inappropriately to client (C1) and does not treat C1 with dignity and respect. Compliant stated that S1 yelled at C1 and makes fun of C1s clothing. Interviews conducted with 5 out of 8 staff have stated they have not seen or heard S1 make fun or yelling at C1. 1 out of 8 staff stated they have heard S1 yell and raise their voice at C1. LPA was unable to contact and interview 2 out of 8 staff. Interview conducted with C1 stated no staff has yelled at them but got mixed answers when asked if any staff have made fun of them, C1 first stated “yes” then stated “no”. LPA asked C1 for a third time and got no answer. LPA was unable to gather enough evidence to say the allegations did happen.

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 allegations are unsubstantiated.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

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