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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801684
Report Date: 06/13/2022
Date Signed: 06/13/2022 11:38:27 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
04/22/2022 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20220422081551
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: 30DATE:
06/13/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Charito Santos (Administrator)TIME COMPLETED:
09:17 AM
ALLEGATION(S):
1
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8
9
Residents are smoking marijuana in the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cuadra arrived unannounced to the facility met with Administrator, Charito Santos to deliver findings regarding the complaint allegations above.
It is alleged by Reporting Party that residents at this facility are smoking marijuana on the men’s wing rooms and at the back patio where the smoking area is assigned for smoking and the smell of smoking can be smelled in the hallway. During investigation LPA reviewed records, made observations at the facility and conducted confidential interviews with residents in care. LPA conducted 10-day complaint inspection on 4/28/22 and interviewed Administrator at the facility. Although, Administrator provided a copy of 1st verbal warning dated 11/18/21 issued to eight residents in care due to residents were found smoking marijuana outside of the designated place located at the back of the facility parking lot. Confidential interviews conducted with residents in care did not determine that residents are smoking inside the facility. LPA was unable to obtain additional information to support residents smoke marijuana inside of the facility. However, Administrator confirmed that two out of four residents in care that smoke marijuana does not have a doctor’s order on file. LPA will address facility not following doctor’s order in a case management. A finding that the complaint allegation residents are smoking marijuana in the facility is unsubstantiated meaning that 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bethany MoellersTELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Marisol CuadraTELEPHONE: (707) 588-5078
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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