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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801684
Report Date: 04/10/2025
Date Signed: 04/10/2025 11:49:15 AM

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
03/03/2025 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20250303152542
FACILITY NAME:AA BEST CARE HOMESFACILITY NUMBER:
496801684
ADMINISTRATOR:AQUINO, NICANORFACILITY TYPE:
740
ADDRESS:857 HEARN AVE.TELEPHONE:
(707) 546-8413
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:40CENSUS: 24DATE:
04/10/2025
UNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Charito Santos (Administrative Assistant)TIME COMPLETED:
12:04 PM
ALLEGATION(S):
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-Staff did not provide adequate supervision resulting in a resident wandering away from the facility.
-Staff are not safeguarding residents monies.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with Charito Santos, Administrative Assistant.

Allegation of staff did not provide adequate supervision resulting in a resident wandering away from the facility. According to reporting party, on 3/2/25 resident (R1) was observed at Resurrection Parish church in Santa Rosa, R1 was stating that they were dropped off by somebody, but they could not state their home address, or any further details and they stated that they did not wish to return to where the unknown address where they lived. Although shelters and the police were contacted to attempt to find any leading information of R1 until the facility stated that R1 was not at the facility. Based on records review, Santa Rosa Police records SR-250610130 confirmed above information with an unfounded disposition due to the cognitive decline status that R1 was experiencing and there was no evidence of elder abuse but suggesting to R1’s responsible party the possibility to reassess and transfer R1 to a higher level of care facility.
Continue on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
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-20250303152542
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: AA BEST CARE HOMES
FACILITY NUMBER: 496801684
VISIT DATE: 04/10/2025
NARRATIVE
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Continued from LIC9099...

R1’s physician report dated 1/3/2025 revealed that R1 can leave the facility unassisted without any mental challenges. However, during interviews conducted with facility staff and R1’s responsible party confirmed that R1 needs to get transferred to a memory care facility due to rapidly decline of their cognitive abilities and their actively involvement on this process to get expedited with pertinent parties. A finding that the complaint allegation occurs of staff did not provide adequate supervision resulting in a resident wandering away from the facility is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding the allegation of staff are not safeguarding residents’ monies. Per Reporting party, during the incident on 3/2/25 resident (R1) mentioned that somebody took all their money without any further details. Based on records review, the facility does not handle R1’s cash resources. During the investigation LPA conducted interviews with various parties including their case worker who confirms that R1 receives checks directly mailed to their physical address (facility address), these funds are issued by Tsunami Enterprises who is the payee services vendor, then case worker takes R1 to a financial institution to cash out the check. Although, it was revealed that there is an unclear incident regarding cleared check #2010634 dated 12/13/24 in the amount of $450. According to Tsunami representative, the incident was followed up with the bank by pertinent parties and were told that the check was cashed out by R1, if any other account details were needed, R1 will need to complete a fraudulent activity affidavit, have it notarized, then the completed form will need to be submitted to the bank to get the money refunded as well as filing a police report to have them actively investigate it, but since it’s below the felony threshold, the incident was not been able to get it resolved. Therefore, LPA was unable to determine if allegation could happen during the time of the alleged incidents. A finding that the complaint allegation occurs of staff are not safeguarding residents’ monies is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2