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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496802043
Report Date: 05/05/2026
Date Signed: 05/05/2026 03:46:42 PM

Document Has Been Signed on 05/05/2026 03:46 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:PROGRESS SONOMAFACILITY NUMBER:
496802043
ADMINISTRATOR/
DIRECTOR:		ELIZABETH PICKERINGFACILITY TYPE:
772
ADDRESS:3400 MONTGOMERY DRIVETELEPHONE:
(707) 526-6902
CITY:SANTA ROSASTATE: CAZIP CODE:
95405
CAPACITY: 10CENSUS: 9DATE:
05/05/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by counselor. Assistant Program Director (APD) Marisol Berta greeted LPA shortly after arrival. Elizabeth Pickering, Administrator contacted by phone. Facility contact information was reviewed with APD before LPA opened the facility report; LPA arrived at facility at 11:00am.

At approximately 11:30am LPA and APD toured the building and grounds. The facility kitchen was being repaired. Entrance to kitchen is blocked from both entry points and caution tape present. LPA and APD discussed putting up a sign too indicating under construction. LPA observed clients making lunch on table in kitchen area. LPA discussed with clients ability to prepare food as needed even with kitchen being under repair. Clients indicated they either go out to eat, order pizza or food delivery, or use the microwave to heat and prepare food. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. APD advised LPA that clients have their personal cubbies in which they store their personal snacks bought with their own money. Facility also provides snacks that are available upon request and readily available snacks that are located adjacent to the kitchen in two drawers. LPA observed snacks to be plentiful and available. LPA spoke to contractor (I1) from Lucky Construction. Contractor advised LPA that there were some electrical issues that needed to be addressed to bring electrical up to code, as building had electrical from the 1950s. The estimated completion date is Memorial day 2026.

All bedrooms were equipped with lighting, night stand, and chest of drawers. Rooms #1 and #2 need

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NAME OF LICENSING PROGRAM MANAGER: Victoria Bertozzi
NAME OF LICENSING PROGRAM ANALYST: Christi Coppo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: PROGRESS SONOMA
FACILITY NUMBER: 496802043
VISIT DATE: 05/05/2026
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another lamp as they are dual occupancy. Extra hygiene products and linens were available. Toilet was being replaced in room #1 while LPA present. Water temperature in sink accessible to clients in care measured at 90.4 degrees F in the room #4, 120.2 degrees F in room #3, 123.7 degrees F in room #2 and 123.7 degrees F in the downstairs client apartment, all which are not within the allowable range of 105 to 120 degrees F. APD immediately turned down water heater. LPA tested water again at the end of visit and got reading of 120.2 in resident room #1 which was still not within the allowable range of 105 to 120 degrees F. APD will work with water heater to get into compliance. LPA advised APD that water temperature has been an issue at the facility, APD advised LPA they do monitor the water temperature and will prioritize it.

Fire extinguishers were last inspected 1/5/26. Smoke/Carbon Monoxide detector was present and operational in downstairs client apartment and in client rooms but was missing from main client hallway and was not present in hallway leading to administrative office where room #5 is located; additionally, smoke detector is required in sitting area across from kitchen (deficiency cited, see 809D). Santa Rosa Fire Department Fire Inspector arrived while LPA present to conduct their annual inspection. Fire inspector advised LPA and APD that detectors are required in the hallways and the sitting area across from the kitchen, but not in the kitchen itself. Facility’s last quarterly disaster drill was conducted on 4/2/26.

At approximately 1:00pm LPA conducted review of six [6] staff records. All required documentation present. At approximately 2:00pm LPA conducted a review of six [6] of nine [9] client records. All required documentation present.

At approximately 2:30pm LPA and APD conducted a spot check of medication and medication records. Medication is centrally stored in locked lockers in staff office room. LPA and APD discussed PRN MAR requirements including listing the client's response after PRN is administered. LPA and APD reviewed PRN MAR sheet which does have a column that can be used for response. LPA advised to put a through description.

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 APD. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with APD and a copy of this report was given

NAME OF LICENSING PROGRAM MANAGER: Victoria Bertozzi
NAME OF LICENSING PROGRAM ANALYST: Christi Coppo
LICENSING PROGRAM ANALYST SIGNATURE:

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

DATE: 05/05/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/05/2026 03:46 PM - It Cannot Be Edited


Created By: Christi Coppo On 05/05/2026 at 03:32 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PROGRESS SONOMA
FACILITY NUMBER: 496802043

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
81088(m)
Fixtures, Furniture, Equipment, and Supplies
(m) All social rehabilitation facilities, except facilities with sprinkling systems, shall have an approved, commercially manufactured and battery operated smoke detector installed in the hallway(s) in each sleeping area in the home. The smoke detectors shall be audible in each bedroom or sleeping room.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA and APD observation, the licensee did not comply with the section cited above in that smoke alarm not present in either hallway of facility and sitting area across from kitchen needs an alarm as well, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2026
Plan of Correction
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Facility to submit plan to install smoke/carbon monozide detectors in both hallways and the sitting area across form kitchen by plan of correction due date. Video of working detectors in both hallways and the sitting area across from kitchen to be submitted to CCL by no later than 5/12/26.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Victoria Bertozzi
NAME OF LICENSING PROGRAM MANAGER:
Christi Coppo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2026


LIC809 (FAS) - (06/04)
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