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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 490108916
Report Date: 07/21/2026
Date Signed: 07/21/2026 02:13:35 PM

Substantiated


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
06/16/2026 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260616081156
FACILITY NAME:SARAH'S COUNTRY HOMEFACILITY NUMBER:
490108916
ADMINISTRATOR:NAVARRO, LORAFACILITY TYPE:
735
ADDRESS:341 MILLBRAE AVENUETELEPHONE:
(707) 585-0607
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:6CENSUS: 5DATE:
07/21/2026
UNANNOUNCEDTIME BEGAN:
01:27 PM
MET WITH:Lora Navarro (Administrator)TIME COMPLETED:
02:35 PM
ALLEGATION(S):
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-Staff are not meeting residents' medical needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cuadra arrived unannounced to delivered findings regarding the allegation listed above and met with Lora Navarro, Administrator.
The Department received an allegation of staff are not meeting residents' medical needs. The Reporting Party raised concerns that facility staff are resistant to most care outside of regular appointments, but finally starting to get preventive screenings completed, but it was noticed that the facility is not monitoring blood pressure at home for clients in care who has a medical condition. Based on records review, the facility provided proof that all clients in care have seen their physician and got preventive screenings completed regularly. However, during records review, it was revealed through interviews with administrator that clients (C1, C2, C3 & C4) had a doctor’s order in place on 3/13/26 to pick up a blood pressure monitor to monitor clients’ blood pressure due to elevated blood pressure readings, but the facility did not pick up the monitor until 6/16/26 to initiate monitoring of all clients’ blood pressure as instructed by C1’s physician. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
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-20260616081156
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: SARAH'S COUNTRY HOME
FACILITY NUMBER: 490108916
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2026
Section Cited
CCR
85075(b)
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85075 Health-Related Services (b) The facility shall develop and implement a plan which ensures that assistance is provided to the clients in meeting their medical and dental needs. This requirement has not been met as evidence by:
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The administrator showed proof that they are ensuring that clients receive assistance with their weekly monitoring of their blood pressure as directed by their physician as of 6/30/26. Deficiency is cleared.
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Based on LPA’s records review and interviews with Administrator, clients in care have not received the required assistance of weekly monitoring of their blood pressure as instructed by their physician which poses a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2