486804139-1-31-2024-21-AS-KMOA-D28TJQ-20240207134639

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 486804139
Report Date: 01/31/2024
Date Signed: 01/31/2024 04:42:16 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
01/29/2024 and conducted by Evaluator Dominic Tobola

COMPLAINT CONTROL NUMBER: 21-AS-20240129102045

FACILITY NAME:	SOLANO HOUSE		FACILITY NUMBER:	486804139
ADMINISTRATOR:	HALL, ELIZABETH		FACILITY TYPE:	735
ADDRESS:	2251,2261,& 2271 S WATNEY WAY		TELEPHONE:	(530) 758-2160
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	32	CENSUS: 22	DATE:	01/31/2024
		UNANNOUNCED	TIME BEGAN:	04:01 PM
MET WITH:	Elizabeth Hall, Administrator		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff do not implement proper safety measures in the facility

INVESTIGATION FINDINGS:

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On 1/31/2024, Licensing Program Analyst, Tobola arrived unannounced for the purpose of opening complaint investigation and was greeted by Administrator, Elizabeth Hall. LPA toured the facility, interviewed staff, reviewed facility records and made observations.

Complaint alleges staff do not implement proper safety measures in the facility regarding chemicals accessible to clients in care. Upon a tour of the facility, LPA found all cleaning supply storages to be secured. LPA also inspected contents within the staffing breakroom but found no items that could pose as a danger to clients if accessible.
Allegation, staff do not implement proper safety measures in the facility is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies cited during visit.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Dominic Tobola
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024

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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