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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801684
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:10:37 PM

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
01/11/2024 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20240111095236
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: 26DATE:
03/07/2024
UNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:Charito Santos (Administrative Assistant)TIME COMPLETED:
03:24 PM
ALLEGATION(S):
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-Staff member slapped resident in care.
-Staff member yelled at resident in care.
-Facility is in disrepair.
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 staff member slapped resident in care. Per reporting party, on 1/10/2024 at around 3:45 pm a staff member (S1) slapped resident (R1) on their hand after they got into a verbal altercation. According to the reporting party, at some point S1 looked like they were going to hit R1 with the mop, but they allegedly slapped R1 on their hand instead. However, the reporting party stated that R1 did not have any marks or bruising. Based on records review of Santa Rosa Police case # SR240000425, the statements obtained resulted in an unfounded case disposition and R1 denied prosecution of S1. LPA conducted confidential interviews with involved parties including staff and residents concluded that the incident could happened, but there was no information obtained or any indication of physical abuse to support that the alleged violation occurred. A finding that the complaint allegation staff member slapped resident in care 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. Continues on LIC9099C...
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: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
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-20240111095236
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: 03/07/2024
NARRATIVE
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Continued from LIC9099...

Another allegation of staff member yelled at resident in care. Per reporting party, on 1/10/2024 at around 3:45 pm a staff member (S1) came into R1’s room while resident was on a private call with somebody, S1 stated that they were coming in to mop R1’s floor, R1 told S1 no do not to come in because they were on a private phone call and S1 came in anyway, both got into an argument and S1 was yelling at R1. The reporting party added that they did not report this incident to any staff/management, but a lot of other residents heard the verbal altercation. Based on records review of the facility daily care notes on 1/10/24 S1 notified facility management that R1 grab their mop, screamed, cursed at S1, throw mop away while S1 was cleaning R1’s room. Also, it was confirmed on daily progress notes about the police officers that came out to the facility on 1/11/24 and the unfounded case disposition regarding this allegation. Based on interviews conducted by LPA on 2/8/24 with staff (S1, S2 S3 & S4) and residents (R1, R2, R3, R4) in care, there was conflicting information obtained from involved parties that confirmed that there was an incident with involved parties. However, there was no supporting evidence that S1 yelled at resident in care. A finding that the complaint allegation staff member yelled resident in care 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.

The last allegation received facility is in disrepair. Per reporting party, the facility has a window in bedroom located in the back of wing "A" that it has been taped due to a crack on it. Based on LPA’s records review, this allegation had been previously investigated and determined unsubstantiated under complaint# 21-AS-20231221092901. Based on records review of the facility daily care notes there is no indicative that any window in the facility is in the process or needed to be repaired. During the investigation, LPA/staff toured the facility inside and outside, the tour of the physical plant on 1/18/24, 2/8/24 and 2/27/24, where the facility windows appear to be clean, safe and in good repair. Based on LPA’s confidential interviews conducted with other residents (R2, R3 and R4) no concerns were raised regarding accommodations, buildings and grounds provided by the facility. LPA has determined and confirmed that although the facility including bedrooms and bathrooms were clean and in a sanitary condition on recent LPA inspections conducted on 1/18/24, 2/8/24 and 2/27/24, LPA is unable to determine if an area of the facility was in disrepair at a prior date. A finding that the complaint allegation facility is in disrepair 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.

No deficiencies cited during today's inspection. Exit interview conducted with Administrative Assistant and a copy of this report was given.

SUPERVISOR'S NAME: Bethany MoellersTELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Marisol CuadraTELEPHONE: (707) 588-5078
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2