496801684-2-27-2024-21-AS-BMOS-D2VT9F-20240228133150

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496801684
Report Date: 02/27/2024
Date Signed: 02/27/2024 11:00:07 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
12/14/2023 and conducted by Evaluator Marisol Cuadra

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20231214125544

FACILITY NAME:	AA BEST CARE HOMES		FACILITY NUMBER:	496801684
ADMINISTRATOR:	AQUINO, NICANOR		FACILITY TYPE:	740
ADDRESS:	857 HEARN AVE.		TELEPHONE:	(707) 546-8413
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95407
CAPACITY:	40	CENSUS: 25	DATE:	02/27/2024
		UNANNOUNCED	TIME BEGAN:	08:27 AM
MET WITH:	Charito Santos (Administrative Assistant)		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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-Residents are smoking in the facility

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 Administrative Assistant Charito Santos.

The Department received an allegation of residents smoking in the facility. Per Reporting Party residents (unknown names provided) smoke inside the facility. Sometimes they will step right outside the door and light up causing smoke to come into the facility including resident’s room, and they are not smoking in the designated area. Based on records review, there was no clear evidence that any resident had been given a warning about smoking in the facility. Based on interviews conducted with the Administrative Assistant, there was a resident (R1) who complained about other residents smoking or the smell of smoke coming in the facility. Although, contradictory information was obtained after conducting confidential interviews with residents in care on 2/8/24. The facility has conducted an internal investigation that resulted in finding that residents who smoke frequently have their clothing constantly smelling like smoke.
Continues on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bethany Moellers	TELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Marisol Cuadra	TELEPHONE: (707) 588-5078
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

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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Control Number 21-AS-20231214125544

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: 02/27/2024

NARRATIVE

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Continued from LIC9099...

Per interviews conducted with staff and residents it was disclosed that staff usually does laundry once per week. Residents have been reminded to smoke only in designated areas and the facility will re assign a different area for them to smoke their cigarettes to mitigate the impact of smoke coming into the building from the outside. A finding that the complaint allegation of residents is smoking in 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.

SUPERVISOR'S NAME: Bethany Moellers	TELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Marisol Cuadra	TELEPHONE: (707) 588-5078
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

LIC9099 (FAS) - (06/04)

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