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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486804175
Report Date: 07/10/2026
Date Signed: 07/10/2026 01:14:03 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
04/14/2026 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20260414150016
FACILITY NAME:DIVINE MERCY FAMILY HOMEFACILITY NUMBER:
486804175
ADMINISTRATOR:BUI, MARIAFACILITY TYPE:
740
ADDRESS:105 MAYWOOD DRTELEPHONE:
(707) 334-1709
CITY:VALLEJOSTATE: ZIP CODE:
94591
CAPACITY:6CENSUS: 4DATE:
07/10/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Venus StanfordTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility was found to be unsanitary
Facility did not provide resident with adequate hygiene and personal care
Facility has rodents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with House Manager Venus Stanford, toured the facility and reviewed records. During the course of this investigation LPA observed the facility to be clean and in good repair. On 03/24/2026, the Department was notified of a change of ownership for the building. At that time, the new owner, Venus Stanford, began making improvements to the facility. The facility did have evidence of rodent activity and a pest control company was contacted to address the problem. LPA received copies of invoices of pest prevention. During the investigation, LPA observed there were times when certain areas of the facility did not have a pleasant smell. LPA learned the reasons were due to recent incontinence, which was addressed by facility staff, but the smell lingered. LPA inspected the resident rooms and food storage areas and found them to be clean and food was stored properly. Based on interviews conducted, staff assist residents with hygiene needs and personal care as needed. LPA was not able to find evidence to support the allegation that care was not provided.
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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
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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