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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 280109377
Report Date: 10/06/2025
Date Signed: 10/06/2025 04:34:25 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
09/30/2025 and conducted by Evaluator Julie Florio
COMPLAINT CONTROL NUMBER: 21-AS-20250930144145
FACILITY NAME:VETERANS HOME OF CALIFORNIA TRUMAN HALLFACILITY NUMBER:
280109377
ADMINISTRATOR:THERESA JONESFACILITY TYPE:
740
ADDRESS:300 CALIFORNIA DRTELEPHONE:
(707) 944-4884
CITY:YOUNTVILLESTATE: CAZIP CODE:
94599
CAPACITY:48CENSUS: 28DATE:
10/06/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Theresa Jones, AdministratorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Unlawful eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Julie Florio arrived unannounced to initiate a 10-day complaint investigation, regarding the allegation listed above for complaint 21-AS-20250930144145 received by Community Care Licensing (CCL) on 09/30/2025, and met with Theresa Jones, Administrator.

The complaint alleges that facility issued an unlawful eviction to Resident 1 (R1). On Tuesday, September 2, 2025, LPA received a 30-day lawful eviction notice from Administrator which was issued to R1 that day based on R1's repeated unwillingness to comply with the Resident Code of Conduct (COC) Agreement dated 12/28/2016 as evidenced by a persistant pattern of failed room inspections and re-inspections and refusal of support and assistance to facilitate compliance spanning over two years as outlined in said eviction notice, and beyond since admission. During inspection LPA obtained documents, made observations, and conducted interviews which further support the incidents outlined in said eviction notice.

Contniued on LIC9099C...
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025
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-20250930144145
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: VETERANS HOME OF CALIFORNIA TRUMAN HALL
FACILITY NUMBER: 280109377
VISIT DATE: 10/06/2025
NARRATIVE
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Continued from LIC9099...

Based on record review, interviews conducted, and observations made, the allegation of facility issued an unlawful eviction is UNFOUNDED. A finding that the complaint is unfounded means that the allegation was false, could not have happened and/or is without a reasonable basis.

No Deficiencies cited during visit.

Exit interview conducted. Copy of report discussed and provided to Administrator, whose signature on form confirms receipt of documents.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2