<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803710
Report Date: 12/16/2025
Date Signed: 12/16/2025 10:51:22 AM

Substantiated


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
11/10/2025 and conducted by Evaluator Star Stevenson
COMPLAINT CONTROL NUMBER: 21-AS-20251110141228
FACILITY NAME:PARAMOUNT HOUSE SENIOR LIVINGFACILITY NUMBER:
486803710
ADMINISTRATOR:SAMANIEGO,AGUSTINFACILITY TYPE:
740
ADDRESS:2061 PEABODY RDTELEPHONE:
(707) 455-0300
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:95CENSUS: 80DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Elizabeth Aguiar - Resident Service DirectorTIME COMPLETED:
10:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not meeting incontinence care needs of residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/16/2025, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Elizabeth Aguiar Resident Service Director.

The Department received an allegation of staff are not meeting incontinence care needs of residents. An anonymous reporting party is alleging that staff are not meeting the incontinence care needs of residents. According to the complainant, staff at Paramount are using improper incontinence care in lieu of more timely garment changes, including doubling up of incontinence briefs, and adding addition pads, in some cases as many as 6 pads inside a brief which can lead to an uncomfortable fit. On November 19, 2025, resident (R1) who resides in specific room number provided was observed wearing two incontinence briefs and multiple pads placed on one of the garments, which is not the first time that this issue was observed and raised to management by complainant, but no corrective action appears to have been taken to address it.

Continued on LIC90990-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Star Stevenson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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 3
Control Number 21-AS-20251110141228
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: PARAMOUNT HOUSE SENIOR LIVING
FACILITY NUMBER: 486803710
VISIT DATE: 12/16/2025
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
Over the course of the investigation LPA reviewed written documentation provided, along with photographs supplied by the concerned party. Confidential interviews conducted with R1 confirmed that staff have been in the practice of adding multiple absorbent pads in their incontinence brief which causes the elastic to pull at their inner thighs, causing redness and discomfort. In addition, LPA conducted confidential interview with resident (R2) who also confirmed that staff place additional absorbent pads inside their incontinence brief. Based on photographic evidence of doubling up of incontinence briefs, interviews bearing out the reality of staff either doubling up incontinence briefs or placing as many as 6 absorbent pads inside the incontinence brief of residents, the allegation is Substantiated. 

A finding that the complaint is substantiated means there is a preponderance of evidence to prove the alleged violations did occur.  Repeat citation issued, see 9099-D page
 
Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
 
This report was reviewed with Elizabeth Aguiar - Resident Service Director and Appeal rights were given
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Star Stevenson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20251110141228
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: PARAMOUNT HOUSE SENIOR LIVING
FACILITY NUMBER: 486803710
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/30/2025
Section Cited
CCR
87625(b)(3)
1
2
3
4
5
6
7
87625(b)(3) Managed Incontinence
(b)In addition...the licensee shall be responsible for the following...(3)Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee to self-certify they have read regulation 87625 and to provide proof that all direct care staff have reviewed regulation 87625 including keeping incontinent residents dry..
8
9
10
11
12
13
14
Based on observation, interviews, file review and photographs reviewed, the licensee did not comply in two (2) out of four (4) residents which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
as well as submit the licensing the facilties incontinent care plan and steps they require to care for incontinent resident by 12/30/2025
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Star Stevenson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3