216804035-4-30-2026-21-AS-VBEI-DTTRWD-20260506132259

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 216804035
Report Date: 04/30/2026
Date Signed: 04/30/2026 09:24:13 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
04/01/2026 and conducted by Evaluator Caitlynn Felias

COMPLAINT CONTROL NUMBER: 21-AS-20260401140056

FACILITY NAME:	ROSES RESTHOME		FACILITY NUMBER:	216804035
ADMINISTRATOR:	DANIEL, SILVANA		FACILITY TYPE:	740
ADDRESS:	1 ROOSEVELT AVE		TELEPHONE:	(415) 479-5522
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94903
CAPACITY:	8	CENSUS: 6	DATE:	04/30/2026
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Licensee, Silvana Daniel		TIME COMPLETED:	09:35 AM

ALLEGATION(S):

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Staff do not ensure facility is free of bed bugs

INVESTIGATION FINDINGS:

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At approximately 8:55AM, Licensing Program Analyst (LPA) Felias, arrived unannounced to deliver findings for a complaint investigation regarding the above allegation and met with Licensee, Silvana Daniel.

During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegation was investigated, “Staff do not ensure facility is free of bed bugs.” Complaint alleged that Resident 1 (R1) has bed bugs and that it has been an ongoing problem at the facility for at least 6 months. Per complaint, the facility has only treated R1’s room and no other rooms in the facility. Complaint also stated that R1 was going to be evicted because the facility didn’t have issues with bed bugs until R1 moved to the facility.

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

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-20260401140056

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: ROSES RESTHOME	FACILITY NUMBER: 216804035
	VISIT DATE: 04/30/2026

NARRATIVE

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Continued from LIC9099

Interview conducted with Licensee stated that R1 goes to a center multiple times a week and that it’s unknown how R1 got bed bugs. Per Licensee, once it was discovered that bed bugs were in R1’s room, they replaced R1’s mattress, bedframe, and boxspring and contacted a pest control company to help with treatment. Per Licensee, the company has visited the home and treated R1’s room three times. Currently R1 has been changing their clothes every day when they return home from the center. Licensee also stated that they know that the bed bugs have not spread to other areas of the facility because they change the bedding daily and launder and dry all the linens on high heat.

Licensee also stated that they had a conversation with R1’s guardian about what to do about the bed bugs and brought up the possibility of eviction but did not issue R1 an eviction notice. It was observed that a formal eviction notice has not been issued for R1.

Interview with Staff Member 1 (S1) stated that they believe that the bed bugs could have come from the center R1 attends every day. Per S1, R1’s room has been treated for bed bugs at least three times with chemical steam treatment and that R1’s furniture was replaced. S1 stated that they know bed bugs haven’t spread to other parts of the facility because they change all the residents’ bedding, wash and dry all the linens on high heat, and they haven’t observed any evidence of bed bugs on the linens or bed bug bites on the residents.

Review of facility documents showed that the facility has had R1’s room treated on 11/20/2025, 01/30/2026, and 03/26/2026. Review of documentation for 03/26/2026 visit indicated that the pest control company would conduct a follow up visit/service.

Based on document review, interviews conducted, and observations made, this allegation is Unsubstantiated. A finding that the complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No Deficiencies Cited during visit.

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

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC9099 (FAS) - (06/04)

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