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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801426
Report Date: 02/18/2026
Date Signed: 02/18/2026 03:02:11 PM

Substantiated


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
11/18/2025 and conducted by Evaluator Robert Frank
COMPLAINT CONTROL NUMBER: 21-AS-20251118112147
FACILITY NAME:THRUSHWING HOMEFACILITY NUMBER:
496801426
ADMINISTRATOR:DEBBIE MILLERFACILITY TYPE:
735
ADDRESS:128 THRUSHWING AVENUETELEPHONE:
(707) 843-4880
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:4CENSUS: 2DATE:
02/18/2026
ANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Debbie & Robert Miller, LicenseesTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Neglect and lack of supervision of the resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Robert Frank met with Licensees Debbie & Robert Miller in the Santa Rosa Regional Office to deliver findings regarding the above allegation.

During the course of the investigation LPA conducted facility visits, conducted interviews, collected and reviewed documents.

Complaint alleges neglect and lack of supervision of clients at the facility. Multiple Reporting Parties (RPs) stated that on 11/12/2025 facility client C1 was bitten by a dog at the facility. On 11/13/2025 facility staff member S2 submitted an LIC 624 Unusual Incident/Injury Report to Community Care Licensing (CCL). The report stated that the facility dog did bite client C1 and that C1 was taken to Sutter Health Santa Rosa Regional Hospital Emergency Department.

Continued on 9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
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 3
Control Number 21-AS-20251118112147
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: THRUSHWING HOME
FACILITY NUMBER: 496801426
VISIT DATE: 02/18/2026
NARRATIVE
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...Continued from 9099

The report also stated that the dog has been permanently removed from the facility. The After Visit Summary from Sutter Health is consistent with the Incident Report noting that client C1 suffered injuries because of a dog bite. LPA confirmed that the dog in question was no longer at the facility during an investigative visit to the facility on 11/18/2025. During interviews, staff members S1 & S2 both stated that the dog in question did bite client C1. A witness stated that they believed client C1 was previously bitten by the same dog. LPA was unable to find corroborating evidence that this occurred. Based on LPA’s interviews, record review and express admission 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.

Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted. Copy of report, LIC-9099, LIC-9099C, LIC9099-D, Plan of Corrections and Appeal Rights discussed and provided to Licensee Miller.. Signature on form confirms receipt of documents.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20251118112147
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: THRUSHWING HOME
FACILITY NUMBER: 496801426
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2026
Section Cited
CCR
80078(a)
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80078 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the client's needs.
This requirement is not met as evidenced by:
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License to create a policy on how staff will communicate and share changes in client behavioral issues or areas of concern. License to provide policy and proof of staff training on the policy to Community Care Licensing by POC due date of 3/11/2026.
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Based on interview & record review, the licensee did not comply with the section cited above in that a dog that was allowed to reside at the facility bit a client while in the care of the facility which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3