486803806-9-17-2026-21-AS-VBEI-DY9TD4-20260925143745

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 09/17/2026
Date Signed: 09/17/2026 03:15:06 PM

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
07/08/2026 and conducted by Evaluator Elias Magdaleno

COMPLAINT CONTROL NUMBER: 21-AS-20260708204222

FACILITY NAME:	VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE		FACILITY NUMBER:	486803806
ADMINISTRATOR:	RAMOS, MAY		FACILITY TYPE:	740
ADDRESS:	3350 CHERRY HILLS COURT		TELEPHONE:	(707) 425-3588
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94534
CAPACITY:	250	CENSUS: 124	DATE:	09/17/2026
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jesse Sias, Regional Director of Operations		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not prevent resident from entering another resident's room and harrasing them
Staff did not assist resent with getting dressed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magdaleno arrived unannounced to deliver findings regarding the above allegations and met with Regional Director of Operations, Jesse Sias.

During the course of this investigation LPA conducted interviews, reviewed records, and made observations.

Staff did not prevent resident from entering another resident's room and harassing them – Reporting Party (RP) alleges that staff allowed other residents to enter residents (R1) room and sit on R1s bed and chair for 45 minutes before staff intervention. RP also alleged possession of a video showing residents in R1s room. LPA was not able to acquire video after numerous attempts. Interviews with management and staff indicated they were not aware of any incidents of residents entering R1s room nor did they receive any reports indicating this.
Continued LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026

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-20260708204222

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: VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE	FACILITY NUMBER: 486803806
	VISIT DATE: 09/17/2026

NARRATIVE

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Continued from LIC9099...

Review of Care Notes did not indicate any incident in which other residents entered R1s room. Further review of Care Notes indicated an incident in which R1 showed elevated behaviors and was yelling at a visiting performer alleging that this performer was wearing R1s shirt and had gone in their room to steal items. Staff were able to redirect R1 following this behavior.

Staff did not assist resident with getting dressed – RP alleges that they were informed by the facility that R1 was refusing to get dressed for a hospital visit resulting in RP “hollering at them through the Ring camera to get up”. RP stated that R1 was in tears due to being rushed to get ready. Interviews with management indicated it is facility policy to prompt a resident to complete Activities of Daily Living (ADLs) three (3) times, however, they are not able to force a resident if they continue to refuse. Further interviews with management indicated that R1 frequently refused ADLs requiring staff prompting and eventual acceptance from R1, but this was not a guarantee. RP states the facility did inform them of R1s refusals which resulted in RP rushing R1 to get dressed.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

No deficiencies cited. Exit interview conducted with Regional Director of Operation, whose signature on form confirms receipt.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026

LIC9099 (FAS) - (06/04)

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