<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801684
Report Date: 05/12/2026
Date Signed: 05/12/2026 02:33:43 PM

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
05/01/2026 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260501141950
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: 27DATE:
05/12/2026
UNANNOUNCEDTIME BEGAN:
11:48 AM
MET WITH:Tiffany Dizon (Co-Licensee)TIME COMPLETED:
02:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Fire Clearance Violation.
-Facility is Not Kept Clean and Sanitary.
-Resident Care Needs Not Being Met.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cuadra arrived unannounced to delivered findings regarding the allegation listed above & met with Tiffany Dizon, Co-Licensees & Administrative Assistant, Charito Santos.
The Department received an allegation of fire clearance violation. The Department learned about a report issued from an inspection conducted by another agency where there were some areas of concern identified that require immediate attention due to safety issues including missing or non-functioning smoke detectors, padlock installed on an exit door including staff’s room that can be locked from the outside, exit door does not properly close and latch, exposed electrical wiring in the shower and nonfunctional emergency lighting. Based on records review and interviews conducted with facility staff (S1) and photographs obtained by LPA as supportive evidence, it was confirmed that the violations did occur and facility staff stated that the areas of concern identified by another agency were being repaired/replaced accordingly. 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. An immediate civil penalty of $500 is assessed at time of visit. Continued on LIC9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
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 4
Control Number 21-AS-20260501141950
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: 05/12/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Continued from LIC9099...Regarding allegation of facility is not kept clean and sanitary. The Department was provided with photographs as supportive evidence of bathroom used by residents in care has mold in the ceiling, presence of excessive clothing that prevents the door from opening fully. LPA conducted 10-day visit on 5/5/26 and based on LPA's observations mold in bathroom was present and clothing in the staff room has not been removed, then S2 arrived to remove the hanger bar that was holding the clothing, and clothing bags that were still blocking the door from opening completely. Based on records review, LPA’s interviews conducted with facility staff (S1) it was confirmed that the resident’s bathroom ceiling has mold. Also, Administrative Assistant agreed stated that they are in the process of painting the ceiling in the bathroom due to steam when residents in care take showers. 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.

Last allegation of resident care needs not being met. Per Reporting Party, on 5/1/26 a resident (R1) had a fall and remained on the floor overnight without assistance. Based on records review, the facility submitted an incident report on May 4, 2026, notifying the department that on April 30, 2026, around 6:00am, staff (S2) while calling residents for breakfast found R1 on the floor. However, the incident report did not address whether medical assistance was needed or not. On May 11, 2026, a second incident report was issued notifying the department that on May 7, 2026, around 12:50pm R1 complained of having pain in their left shoulder and wanted to call their case worker. Upon case worker’s arrival, they called the ambulance to take R1 to the hospital, where R1 was diagnosed with fracture of left radius initial encounter and followed up appointment with an orthopedic specialist. According to R1’s physician report dated 1/16/26, R1 is ambulatory, but has mobility limitations needing to use a cane due to immobility of left arm, and R1 has the capacity for self-care. Although R1’s admission agreement dated March 2, 2026, indicates that facility will provide continuous care and supervision. Based on LPA's observation, during visit conducted on May 5, 2026, R1 was observed walking around the facility without a cane. Based on LPA’s interviews conducted with Administrative Assistant, R1 does not have a current care plan on file. LPA conducted confidential interviews with residents (R1 & R2) where it was confirmed that during the first incident, R1 fell from their bed about 2am, remained on the floor until 6am when S2 found them on the floor, then there was a second fall incident that resulted in R1 to sustain a fracture of their left arm. 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. The Department will review documentation obtained to determine if additional civil penalties are needed. Exit interview conducted with Administrator and copy of this report was given.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 21-AS-20260501141950
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/13/2026
Section Cited
CCR
87202(a)
1
2
3
4
5
6
7
Type A 87202 Fire Clearance (a) All facilities shall maintain fire clearance approved by the city, county, or city & county fire department, or district providing fire protection services, or the State Fire Marshal...This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Administrator agrees to repair/replace areas of concern identified by third agency report and will submit pictures as proof of corrections to clear the citation.
***An immediate civil penalty of $500 is assessed at time of visit.
8
9
10
11
12
13
14
Based on LPA’s records review and interviews with facility staff, the facility failed to ensure that smoke detectors were functioning, padlocks were not installed in exit doors, exposed electrical wiring & nonfunctional emergency lighting which poses an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
Type A
05/13/2026
Section Cited
CCR
1569.269(a)(6)
1
2
3
4
5
6
7
Type A §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have...the following rights: (6) To care, supervision, & services that meet their individual needs & are delivered by staff that are competency to meet their needs. This requirement has not been met as evidence by:
1
2
3
4
5
6
7
Administrator will have training conducted focusing on resident care plans and submit to CCL planned training date by POC due date to clear the citation.
8
9
10
11
12
13
14
Based on LPAs record review and interview with facility staff, the facility failed to meet R1's individual care needs, R1 had two incidents of falls where on the 1st incident, R1 remained on the floor since 2am until S2 found them at 6am, then a 2nd fall resulted in R1 sustained a fracture which poses an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 21-AS-20260501141950
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/26/2026
Section Cited
CCR
87303(a)
1
2
3
4
5
6
7
Type B 87303 Maintenance & Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services & procedures for the safety and well-being of residents, employees and visitors. This requirement has not been met as evidence by:
1
2
3
4
5
6
7
Administrator agrees to repair/replace areas of concern identified by third agency report and will submit pictures as proof of corrections to clear the citation.
8
9
10
11
12
13
14
Based on LPA’s records review and interviews with facility staff, the facility failed to ensure that the facility is clean and sanitary by having mold in the bathroom’s ceiling used by residents in care and hanging excessive clothing at staff room preventing the door from opening completely which poses a potential health and safety risk to residents in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4