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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801936
Report Date: 06/17/2025
Date Signed: 06/17/2025 10:48:37 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 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
04/25/2025 and conducted by Evaluator Christi Coppo
COMPLAINT CONTROL NUMBER: 21-AS-20250425151330
FACILITY NAME:LOVEJOY'S GREENHOUSEFACILITY NUMBER:
496801936
ADMINISTRATOR:LOVEJOY, MARTHAFACILITY TYPE:
740
ADDRESS:3260 HIDDEN VALLEY DRIVETELEPHONE:
(707) 526-7321
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:6CENSUS: 2DATE:
06/17/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Linda Ruhake, AdministratorTIME COMPLETED:
11:02 AM
ALLEGATION(S):
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Staff isolates resident in room for extended periods of time.
Staff does not ensure resident's showeing needs are being met.
Staff mismanages resident's medicaiton log.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christi Coppo arrived at this facility deliver complaint findings on the above allegations. LPA met with Administrator Linda Ruhake.

Complaint alleges staff isolates resident in room for extended periods of time. During investigation, LPA interviewed facility administrator. Administrator gave LPA hour by hour accounting of typical schedule of care given to R1. Admin indicated to LPA that resident spends all their time in their room except for the times they are eating lunch and/or dinner, or on the occasion when R1 hangs out in the living room for a bit after eating lunch and/or dinner. Admin indicated to LPA that while present at the facility, R1 spends most of their time in their room watching TV, eats breakfast in bed and remains in their bed for up to 4 consecutive hours at a time. During visit to facility, LPA did not observe any activities being conducted or available for residents. Based on LPA’s interviews and observation, the preponderance of evidence standard has been met,

Continued on 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
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 6
Control Number 21-AS-20250425151330
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LOVEJOY'S GREENHOUSE
FACILITY NUMBER: 496801936
VISIT DATE: 06/17/2025
NARRATIVE
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Continued form 9099...

therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D.

Complaint alleges staff does not ensure resident's showering needs are being met. During investigation, LPA reviewed R1’s physician report in which it states that R1 is at risk if allowed direct access to personal grooming and hygiene items as well as having a lack of capacity to bathe or dress/groom themselves. Additionally, R1 is non-verbal and cannot refuse showers. During investigation, Admin indicated to LPA that R1 gets bed baths every day and that R1 gets showered two [2] times per week, but that showers occur on random days of the week. During investigation, LPA reviewed facility shower logs from 4/1/25-4/30/25. LPA review of shower log indicates that R1 was only showered three [3] times in the month of April on 4/12, 4/19, and 4/27. Based on LPA’s interview and record review, 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, are being cited on the attached 9099D.

Complaint alleges staff mismanages resident's medication log. Complainant states that resident's medications are not being documented in the medication log each time the resident is being administered a medication. During investigation, LPA reviewed R1’s physician report in which it states that R1 is not able to administer their own medications or communicate their needs. During investigation, LPA reviewed Medication Administration record (MAR) for R1 and current physician’s medication orders for R1. LPA observed incomplete MAR records for both R1’s prescription and PRN medications. Admin acknowledged incomplete MAR records. Additionally, facility did not list the time at which any PRN medications were administered, as required per regulation 87465(d)(3), So, based on LPA’s interview and record review, 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, are being cited on the attached 9099D.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 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
04/25/2025 and conducted by Evaluator Christi Coppo
COMPLAINT CONTROL NUMBER: 21-AS-20250425151330

FACILITY NAME:LOVEJOY'S GREENHOUSEFACILITY NUMBER:
496801936
ADMINISTRATOR:LOVEJOY, MARTHAFACILITY TYPE:
740
ADDRESS:3260 HIDDEN VALLEY DRIVETELEPHONE:
(707) 526-7321
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:6CENSUS: 2DATE:
06/17/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Linda Ruhake, AdministratorTIME COMPLETED:
11:02 AM
ALLEGATION(S):
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Staff did not seek medical attention to resident in a timely manner.
Staff does not follow resident's food diet.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christi Coppo arrived at this facility deliver complaint findings on the above allegations. LPA met with Administrator Linda Ruhake.

Complaint alleges staff did not seek medical attention to resident in a timely manner. Complainant alleges that resident (R1) never had a urinary tract infection before being at the facility and that in January of 2025 R1 ended up septic and in the hospital. During investigation, LPA reviewed R1’s physician report which indicates that R1 has chronic condition of constipation and bladder impairment. During investigation, LPA reviewed hospital discharge papers dated 12/4/24 and 1/22/25. Page 1 of discharge papers dated 12/4/24 indicate that R1 has typical behavior of vomiting and known issue of constipation. Page 12 of discharge papers dated 1/22/25 lists R1’s diagnosis as sepsis and urinary tract infection. Discharge summary indicates possible cause of R1’s diagnosed condition is recent a 6-day vacation, with R1’s responsible party (I1), where R1 was away from facility and immobilized for more time than is typical when at facility. Summary

Continued on 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 21-AS-20250425151330
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LOVEJOY'S GREENHOUSE
FACILITY NUMBER: 496801936
VISIT DATE: 06/17/2025
NARRATIVE
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Continued from 9099A...

also states that I1 indicated to doctor that I1 thinks that R1’s mobility at the facility significantly helps their stool impaction. During investigation, LPA interviewed I1. I1 indicated that the agreement with the facility was that facility Admin would contact I1 for any medical attention that R1 needed that is related to their baseline behavior or known medical issues. Once notified by the facility Admin, I1 would then contact the doctor or transport R1 to receive medical attention. So, the agreement was that the facility would contact I1 and then I1 would make the appointment or take R1 to the hospital when medical attention was thought to be necessary or beneficial. Admin advised LPA that the facility did not observe any new symptoms or behaviors outside of R1’s baseline behavior or known medical issues of vomiting and constipation, so that is why facility did not contact emergency services on 1/22/25; rather, facility contacted I1, as per the facility's agreement with I1. LPA reached out to I1 on three occasions after initial interview for clarification: on 6/2/25, 6/9/25, and 6/12/25 but contact attempts were unsuccessful. Additionally, on 4/28/25, 4/30/25, 5/8/25, and 6/16/25 LPA reached out to R1’s North Bay Regional Center case worker for interview, but LPA attempts were unsuccessful. So, 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.

Complaint alleges staff does not follow resident's food diet. Complainant alleges staff are not following R1’s meal plan. During investigation, LPA reviewed physician report for R1, no special meal plan indicated other than dental soft food diet. During investigation, LPA also reviewed suggested meals for R1 provided to facility from R1’s responsible party. LPA observed food in facility designated for R1 to match foods listed on R1’s responsible party’s suggested meal plan and that of dental soft diet. So, 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.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 21-AS-20250425151330
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LOVEJOY'S GREENHOUSE
FACILITY NUMBER: 496801936
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/01/2025
Section Cited
CCR
87468.2(a)(4)
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87468.2 Additional Personal Rights...(a) In addition to the rights listed in Section 87468.1...residents...shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers,
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Licensee has decided to close facility. LIcensee will forward to CCL copies of Closure plan and 60 day notice given to residents by plan of correction due date. Plan and notice to be in compliance with
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qualifications, and competency to meet their needs. This requirement not met by licensee as evidenced by: Based on LPA interview, resident in isolated in bedroom for extended periods of time, which poses an potential health, safety or personal rights risk to persons in care.
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HSC 1569.682 Transfer of resident upon forfeiture of license or change in use of facility; duties of licensee; closure plan; duty of department upon licensee’s failure to comply; civil penalties. Per Admin, residents have already found a new facility and facility will be closed no later than July 30, 2025
Type B
07/01/2025
Section Cited
CCR
87465(d)(3)
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87465 Incidental Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly... all of the following requirements are met (3) The date and time the PRN
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Licensee has decided to close facility. LIcensee will forward to CCL copies of Closure plan and 60 day notice given to residents by plan of correction due date. Plan and notice to be in compliance with
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medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requriemebt not met by licensee as evidenced by: Based on LPA record review and interview licensee did not maintain complete MAR records for both R1’s prescription and PRN medications, which poses an potential health, safety or personal rights risk to persons in care.
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HSC 1569.682 Transfer of resident upon forfeiture of license or change in use of facility; duties of licensee; closure plan; duty of department upon licensee’s failure to comply; civil penalties. Per Admin, residents have already found a new facility and facility will be closed no later than July 30, 2025
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: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 21-AS-20250425151330
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LOVEJOY'S GREENHOUSE
FACILITY NUMBER: 496801936
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2025
Section Cited
CCR
87468.2(a)(4)
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87468.2 Additional Personal Rights...(a) In addition to the rights listed in Section 87468.1...residents...shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications,
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Licensee has decided to close facility. LIcensee will forward to CCL copies of Closure plan and 60 day notice given to residents by plan of correction due date. Plan and notice to be in compliance with
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and competency to meet their needs. This requirement not met by licensee as evidenced by: Based on LPA interview and record review, facility is not meeting resident's showering needs, which poses an potential health, safety or personal rights risk to persons in care.
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HSC 1569.682 Transfer of resident upon forfeiture of license or change in use of facility; duties of licensee; closure plan; duty of department upon licensee’s failure to comply; civil penalties. Per Admin, residents have already found a new facility and facility will be closed no later than July 30, 2025
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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: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6