486803541-5-1-2026-21-AS-VBEI-DU2MWG-20260513095813

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 486803541
Report Date: 04/30/2026
Date Signed: 05/01/2026 08:21:10 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
01/29/2026 and conducted by Evaluator Ali Deniz

COMPLAINT CONTROL NUMBER: 21-AS-20260129134405

FACILITY NAME:	PEOPLE'S CARE ROLLING HILLS		FACILITY NUMBER:	486803541
ADMINISTRATOR:	GARRETT JOHNSON		FACILITY TYPE:	735
ADDRESS:	4219 ROLLING HILLS LN		TELEPHONE:	(707) 447-5317
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95688
CAPACITY:	4	CENSUS: 3	DATE:	04/30/2026
		UNANNOUNCED	TIME BEGAN:	11:24 AM
MET WITH:	Administrator, Garrett Johnson		TIME COMPLETED:	01:25 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff spoke to client inappropriately.
Violation of client's personal rights.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At approximately 11:10 AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to deliver complaint investigation findings and met with Administrator, Garrett Johnson

The reporting party (RP) alleged that on 01/26/2026, Client 1 (C1), was subjected to inappropriate verbal conduct by staff following a medical appointment, including use of inappropriate language and concerns regarding staff demeanor during transportation.

During the investigation, LPA conducted interviews, reviewed documents, and made observations.
“Staff spoke to client inappropriately” – C1 reported that following a medical appointment and during arrangements for a follow-up visit, a staff member became upset during the interaction and used inappropriate language, including an alleged racial slur. C1 also reported concerns regarding S1’s tone and behavior during transportation. “Iclude no vitnwesses”.

Continued on LIC9099-C page...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Ali Deniz
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)

Page: 1 of 2

Control Number 21-AS-20260129134405

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: PEOPLE'S CARE ROLLING HILLS	FACILITY NUMBER: 486803541
	VISIT DATE: 04/30/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC9099 page...

LPA interviewed the staff, S1 denied using discriminatory or inappropriate language and stated that all interactions with clients are conducted in a professional manner. The staff member acknowledged ongoing efforts to improve communication style.

“Violation of client’s personal rights” – The complaint alleged that staff conduct during and following transportation resulted in a violation of C1’s personal rights. C1 confirmed that an interaction occurred but provided limited and inconsistent details regarding timing and sequence of events. S1 denied any violation of personal rights and reported providing care and services consistent with facility expectations and Title 22 requirements.

LPA did not observe or obtain evidence during the investigation to support that a violation of personal rights occurred. No corroborating documentation or independent witness statements were identified.

Based on interviews conducted, records reviewed, and observations made, the allegations are Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have occurred, there is not a preponderance of evidence to prove that a regulatory violation occurred.

Exit interview conducted. Report discussed and provided to facility administrator. Signature confirms receipt.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Ali Deniz
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)

Page: 2 of 2