Complaint alleges staff are violating the client’s Personal Rights. A witness alleges that staff denied a client access to food; that they were verbally abusive to clients and that clients were denied access to food. Former clients interviewed were asked if facility staff were ever mean to them or if they were ever treated derogatorily by staff members. All former clients interviewed stated that they were never spoken to or treated in a derogatory manner. A witness reported that the facility’s dogs are nipping at the clients. During the facility’s annual inspection on 9/9/2025, LPA reviewed clients’ files and did not find any physicians after visit summaries indicating that treatment was provided for a dog bite. Additionally, LPA reviewed Incident Reports submitted by the facility for the previous five (5) years and did not find any instances of a facility dog biting a client. LPA interviewed former clients of the facility. Former clients stated that they were never bitten or nipped at by facility dogs. Complaint alleges that staff denied a client access to food. A witness reported that facility staff are not allowing clients access to their food in the facility kitchen. In interviews with former clients, LPA was told that there were occasions when they were not allowed to go into the kitchen. When asked if they were given enough to eat, clients responded that they were given enough food to eat but that still were times when they were not allowed to go into the kitchen. Facility staff did not respond to requests for interviews. Based on LPA’s interviews, 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 1, are being cited on the attached 9099D.

Continued on 9099-C2...

During an inspection of the facility on 9/9/2025 for compliant 21-AS-20250905085117 LPA made the following observations: An extremely strong mildew/mold odor emanated from the front entrance area and in the closet next to the front door. There was a damaged drawer in the kitchen with exposed nails. The area under the kitchen sink was observed to have mold and mildew. There was a large hole in the wall directly above the refrigerator. The cabinet above the refrigerator was damaged. There was a broken window next to the rear door in the kitchen area. The ceiling in the front dining area was peeled back from water damage. There were full trash bags lying on the ground on the side of the house. There was various debris throughout the yard area. The bathtub caulking was peeling and was covered in mildew. LPA has photographic evidence of all observations noted above. As part of the Plan of Correction (POC) for the deficiency cited for the complaint investigation the facility was to submit a plan for addressing each issue noted. The facility never submitted the POC for the deficiency. On 10/9/2025, Code Enforcement for the Sonoma County Permit & Resource Management Department issued a Notice & Order for Substandard Housing or Premises for the following violations: Inadequate Sanitation; Visible Mold Growth; Hazardous/Unsanitary Premises and Rodent Infestation. Additionally, Sonoma County Code Enforcement cited the facility for improperly disposing of it’s Grey Water by pumping it into the front yard. Based on LPA’s observations and documents collected, 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 1, are being cited on the attached 9099D.

Complaint alleges a staff member hit a client. A witness stated that a staff member struck a client during a facility outing. LPA interviewed former clients of the facility. All former clients interviewed denied that they were struck by facility staff members at any time. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.