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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486804242
Report Date: 06/06/2025
Date Signed: 06/06/2025 12:34:01 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
04/16/2025 and conducted by Evaluator Jill Nakagawa
COMPLAINT CONTROL NUMBER: 21-AS-20250416115517
FACILITY NAME:CARE HOME AT LAWLER RANCH, THEFACILITY NUMBER:
486804242
ADMINISTRATOR:ADRIANO, RONMARKFACILITY TYPE:
740
ADDRESS:237 LAWLER RANCH PARKWAYTELEPHONE:
(707) 759-3572
CITY:SUISUNSTATE: CAZIP CODE:
94585
CAPACITY:6CENSUS: 4DATE:
06/06/2025
UNANNOUNCEDTIME BEGAN:
10:54 AM
MET WITH:Nini Lourdes-Girard, House ManagerTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Facility is in financial distress.
INVESTIGATION FINDINGS:
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On 6/6/25, Licensing Program Analyst (LPA) Nakagawa arrived unannounced to deliver findings regarding the above allegation. LPA met with House Manager Nini Lourdes-Girard, and Licensee Robert Coleman via phone.
The complaint alleges that the facility is in financial distress. LPA inspected the property on multiple occasions (9/11/2024, 4/24/2025 and 6/6/2025) and observed lights and power were on, grounds were well-kept, an ample supply of perishable and non-perishable food, and 4 of 4 residents (R1, R2, R3, R4) were clean and appeared cared for. 3 of 3 staff (S1, S2, S3) stated they had received wages regularly and there are no staffing shortages. On 4/17/25, property owner/Lessor agreed to send LPA payment records showing lack of payment from Licensee, but as of this date none have been received. LPA interviewed Licensee, who stated the facility is not in financial distress and monthly lease payments are up to date.

Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2025
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-20250416115517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: CARE HOME AT LAWLER RANCH, THE
FACILITY NUMBER: 486804242
VISIT DATE: 06/06/2025
NARRATIVE
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Continued from 9099...

Due to a lack of corroborating evidence or witnesses, the LPA was unable to prove or disprove the allegation. 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.

An exit interview was conducted with House Manager whose signature on this form confirms receipt of these documents.

No deficiencies cited regarding the above allegations during this inspection.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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