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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803956
Report Date: 05/05/2025
Date Signed: 05/05/2025 12:03:38 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
01/27/2025 and conducted by Evaluator Julie Florio
COMPLAINT CONTROL NUMBER: 21-AS-20250127114947
FACILITY NAME:CONNECTED LIVING VACAVILLEFACILITY NUMBER:
486803956
ADMINISTRATOR:KATRINKA TRAILFACILITY TYPE:
735
ADDRESS:82 MANZANITA DRIVETELEPHONE:
(925) 826-6830
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY:5CENSUS: 4DATE:
05/05/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Cedric Tanner, Facility DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff are not providing adequate food service to residents
Staff did not safeguard resident's personal belongings
INVESTIGATION FINDINGS:
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On 05/05/2025, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver complaint 21-AS-20250127114947 investigation findings regarding the above allegations and met with Cedric Tanner, Facility Director. Reporting Party (RP) alleges that the facility is not providing adequate food service to residents and facility staff did not safeguard resident’s personal belongings.

LPAs Florio and Stevenson conducted 10-day complaint investigation visit on 01/28/2025 and obtained documents, made observations, and conducted an interview with Staff (S1). During 01/28/2025 facility visit, LPAs toured the facility and observed at least two days of perishable food and seven days of non-perishable food as required per regulation. LPAs were informed that facility typically prepares meals for the clients at their direction. Facility director states they do go out to eat and often the clients choose thier own meals.

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

DATE: 05/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
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-20250127114947
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: CONNECTED LIVING VACAVILLE
FACILITY NUMBER: 486803956
VISIT DATE: 05/05/2025
NARRATIVE
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Continued from LIC9099...

LPAs observed at least six (6) instances of expired food and mostly frozen and canned foods provided. Facility Director discarded the expired items immediately. LPAs observed the main pantry where most of the facility’s non-perishable food supply is kept secured with a keypad lock and a second refrigerator in the facility garage with a lock as well, making both inaccessible to clients in care. The facility director states this is for staff food and food the clients purchase and request to lock up. LPAs were informed that clients typically label their personal food items and request to have them locked up. LPA Florio conducted subsequent interviews where LPA received conflicting information. Today, 05/05/2025, LPA Florio observed fresh fruit and vegetables in the main refrigerator and on the kitchen table for clients in care.

Based on record review, interviews conducted, and observations made, the allegations that the facility is not providing adequate food service to residents and facility staff did not safeguard resident’s personal belongings are UNSUBSTANTIATED. A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No deficiencies cited.

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

DATE: 05/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2