486803806-5-22-2026-21-AS-VBEI-DUGVH7-20260527162638

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 05/07/2026
Date Signed: 05/22/2026 01:24:21 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
04/07/2026 and conducted by Evaluator Elias Magdaleno

COMPLAINT CONTROL NUMBER: 21-AS-20260407094438

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:	DATE:	05/07/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	May Ramos, Assistant Administrator		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Due to behavior problems, staff isolates resident

INVESTIGATION FINDINGS:

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*Amended Report.
Licensing Program Analyst (LPA) Magdaleno arrived unannounced to deliver findings regarding the above allegation and met with Assistant Administrator, May Ramos.

Due to behavior problems, staff isolates resident – Reporting Party (RP) alleges that resident (R1) is routinely left in their room until lunchtime due to disruptive behaviors. During the course of this investigation LPA conducted interviews, reviewed records, and made observations. Review of Shift Log Notes indicated that R1 will occasionally refuse to get up until afternoon and will occasionally refuse assistance with Activities of Daily Living (ADLs) despite staff attempts. Review of Functional Evaluation indicated that R1 exhibits refusals with care services, and care staff are to promote adherence while maintaining R1’s rights, preferences, and autonomy.

Continued LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

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-20260407094438

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: 05/07/2026

NARRATIVE

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Continued from LIC9099...

Interviews with staff indicated that R1 prefers to sleep in and can become anxious or aggressive when made to wake up earlier. Further interviews with staff indicated that should R1 exhibit behaviors during group activities they will be redirected to 1-on-1 activities with staff until R1 has calmed, but R1 will never be taken back or left in their room as punishment for behaviors. LPA observed R1 engaging in staff led group activities in the activity room. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is 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: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

LIC9099 (FAS) - (06/04)

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