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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801554
Report Date: 09/01/2026
Date Signed: 09/01/2026 10:58:07 AM

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
08/11/2026 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260811145626
FACILITY NAME:SUNSET GARDENFACILITY NUMBER:
496801554
ADMINISTRATOR:RELOTA, MECHELLEFACILITY TYPE:
740
ADDRESS:1018 SUNSET AVE.TELEPHONE:
(707) 528-8512
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:6CENSUS: 6DATE:
09/01/2026
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Eden Relota (Licensee)TIME COMPLETED:
11:13 AM
ALLEGATION(S):
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-Mismanaged medications.
-Facility is not following general food service requirements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Eden Relota, Licensee.

The Department received an allegation of mismanaged medications. According to reporting party, there are three staff (S1, S2 & S3) that pass medications, but they pass them on time, or the medications are found in their pockets, or in the cabinet, or they don't know where it is. LPA/Licensee conducted a spot check of residents’ medications, where it was observed that the facility has pre-poured medications for all residents, which were observed placed inside small containers with their names on them, licensee told staff (S2) that they can't pre-pour medications per regulations. LPA asked S2, if there was any resident who takes medications at noon and they responded “no”, but when the medication drawer was opened there was a medication with a yellow label stating “non” for resident (R4). The medication was not in any container because S2 was not aware that R4 had a prescription for noon medication. Continue on LIC9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
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 5
Control Number 21-AS-20260811145626
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: SUNSET GARDEN
FACILITY NUMBER: 496801554
VISIT DATE: 09/01/2026
NARRATIVE
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Continued from LIC9099...

During file review, LPA learned that resident (R2) went to the ER, but there was no SIR submitted to CCL. LPA will address case management reporting requirements. Based interviews conducted with residents (R1, R2, R3, R4 & R5) it was revealed that at times they have been given wrong time for medication like they will receive morning medication instead of night medication. 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..

Another allegation of facility is not following general food service requirements. Per reporting party, food amount served to residents are limited, veggies and fruit once a week, baked beans and crackers are served and that's it. Based on LPA’s observations, LPA toured the kitchen area and observed kitchen is locked with sign that it states, "employee only". Licensee disclosed that they don't want residents inside because they will eat all the food. LPA explained that the kitchen area can't be locked, so licensee stated that it is only at night. Once again, LPA had a conversation with the Licensee regarding food regulation regarding snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. LPA will address it in case management. During kitchen tour, LPA/Licensee observed not enough fruits and vegetables available for residents in care. Upon LPA’s arrival, LPA observed residents were having breakfast served oatmeal, grapes and bananas. While residents were having lunch, salad and peanut butter sandwich with cantaloupe, staff served resident (R3) a cup with cantaloupe, but R3 stated that cantaloupes give them a bad reaction, staff removed the cup immediately, but staff did not document the request from resident in their care notes. Additionally, LPA/Licensee observed that care plans need to be updated for all residents in care, when LPA inquired about administrator involvement in the operation of the facility due to licensee health challenges, licensee stated that administrator is at school and comes “once in a while”. LPA will address in a case management care plans not been updated within the last 12 months and administrator duties. Based on records review, there are two out of six residents who has a special diet including gluten free-celiac disease, diabetic diet, but based on interviews conducted with residents (R1, R2, R3, R4 & R5) the facility does not have fresh fruit or vegetables available only frozen food, residents disclosed that last night dinner it was hamburgers and potatoes, their last lunch it was spaghetti, which some residents don’t think is the adequate meal for them. 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.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 21-AS-20260811145626
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: SUNSET GARDEN
FACILITY NUMBER: 496801554
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/02/2026
Section Cited
CCR
87465(c)(2)
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Type A – 87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication… (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement has not been met as evidence by:
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Licensee agrees to conduct a medication audit, retrain staff on medication management to ensure resident medications are properly handled daily. On 8/28/26, Licensee submitted the training records to CCL to clear the citation.
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Based on LPA’s observations of medication spot check conducted with S2, records review and interviews with S2 and residents in care, S2 has been mismanaging residents’ medications, which poses an immediate risk to the health and safety of residents in care.
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Deficiency is cleared.
Type B
09/15/2026
Section Cited
CCR
87555(b)(26)
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Type B- 87555(b)(26) General Food Service Requirements. Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by:
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Licensee agrees to submit a plan to ensure two days of perishable food is available at facility at all times, submit plan to CCL by POC due date.
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Based on LPAs/Licensee observation and interview, the facility failed to ensure a supply of two days of perishable foods at all times which poses a potential health and safety risk to residents 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: 09/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
08/11/2026 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260811145626

FACILITY NAME:SUNSET GARDENFACILITY NUMBER:
496801554
ADMINISTRATOR:RELOTA, MECHELLEFACILITY TYPE:
740
ADDRESS:1018 SUNSET AVE.TELEPHONE:
(707) 528-8512
CITY:SANTA ROSASTATE:CAZIP CODE:
95407
CAPACITY:6CENSUS: 6DATE:
09/01/2026
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Eden Relota (Licensee)TIME COMPLETED:
11:13 AM
ALLEGATION(S):
1
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-Personal Rights.
-Physical Plant.
-Not maintaining comfortable temperature.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Eden Relota, Licensee.

Regarding allegation of personal rights. Reporting party alleges that staff (S1) are mean, lie, rude, and they ignore residents. Based on interviews conducted by LPA with residents (R1, R2, R3, R4 & R5) and staff (S1 & S2), the staff are described as difficult to communicate, they do what they can do because this job is not easy, S2 regularly gets mad of residents and staff speaks very loud in their language, which for some residents its annoying. Although residents in care feel annoyed when staff speak loudly using their language, there is no supporting evidence that could evidence a violation in residents’ personal rights. Based on interviews conducted with residents in care, LPA is unable to determine that personal rights have been violated by facility staff. A finding that the complaint allegation of personal rights is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continue on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 21-AS-20260811145626
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: SUNSET GARDEN
FACILITY NUMBER: 496801554
VISIT DATE: 09/01/2026
NARRATIVE
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Continued from LIC9099A...

An allegation of physical plant. Per reporting party, the facility hasn’t had hot water for three years, the water needs to let it run for a while and even then, it's not warm enough to take a shower. Based on interviews with licensee, it was revealed that hot water takes too long, about 15-20 minutes, which was confirmed by residents. The licensee indicated that they would bring a technician to look at it. Although the water takes too long, water temperature measured within regulations. Based on interviews conducted with residents in care, the allegation of physical plant due to hot water delivery taking over 15 minutes, but water measures within the regulations does not indicate a violation of Title 22 regulations. A finding that the complaint allegation of physical plant is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Last allegation of not maintaining comfortable temperature. Reporting party alleges that It's too cold at the facility, thermostat says 50s, but residents need to have multiple blankets. Sometimes it's too hot and the thermostat says 78. On 8/27/26, the reporting party insistently called licensing to indicate that R1 was very sick with an asthma attack and cold. Based on interviews with the licensee, it was revealed that the temperature is controlled by staff (S2). On 8/20/26, LPA/Licensee observed two residents wearing sweaters, blankets and gloves, thermostat was reading 72 degrees in the morning, so licensee agreed to turn it up to make the home warmer for residents in care. Based on interviews conducted with residents (R1, R2, R3, R4 & R5) in care, it was revealed that S2 controls the temperature of thermostat, which it is locked at all times and apparently it is not working properly because the air conditioning is on all the time, resulting on residents feeling cold all the time, and the facility has provide them with portable heaters. Although the thermostat is locked, LPA/Licensee observed during physical plant tour, the facility was a comfortable temperature of 72 degrees, which is within range according to licensing regulations. A finding that the complaint allegation of comfortable temperature is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5