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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486804054
Report Date: 01/09/2024
Date Signed: 01/09/2024 01:02:57 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/13/2023 and conducted by Evaluator David Leibert
COMPLAINT CONTROL NUMBER: 21-AS-20230713151825
FACILITY NAME:PARKROSE GARDENS OF FAIRFIELDFACILITY NUMBER:
486804054
ADMINISTRATOR:MARLENE BREMERFACILITY TYPE:
740
ADDRESS:1095 EAST TABOR AVENUETELEPHONE:
(707) 422-1565
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:102CENSUS: 37DATE:
01/09/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Marlene BremerTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was touched inappropriately while in care
Personal Rights
Facility does not provide activities to residents
Facility is not maintained in a clean, sanitary, and odorless condition
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. During the course of this investigation, statements were taken from staff and witnesses, documents were obtained and reviewed as well as site visits made to the facility. The investigation resulted in the following determinations: Complainant alleges a staff person (S1) fondled a resident (R1) and a resident (R2) with a dementia diagnosis alleges another resident touched the resident on the breast; No substantial evidence that either R1 or R2 were the victims of inappropriate sexual behavior was found during the course of this investigation. R1 denies the allegation and R2 made several contradictory statements that cannot be verified; CCL staff have witnessed various activities in progress on several occasions in the recent past while conducting site visits to facility; Recent site visits to facility indicate the facility has been kept clean, sanitary and odorless. Although the allegations may be true, based upon the statements taken, site visits, and documents reviewed, there is not a preponderance of evidence to prove the allegations are or, are not, valid. Therefore, the allegations are UNSUBSTANTIATED.
Report left.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carla MartinezTELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: David LeibertTELEPHONE: (707) 588-5086
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
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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