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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496802052
Report Date: 03/04/2026
Date Signed: 03/04/2026 01:12:49 PM

Unsubstantiated


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
01/15/2026 and conducted by Evaluator Robert Frank
COMPLAINT CONTROL NUMBER: 21-AS-20260115120823
FACILITY NAME:BETSY'S II RCFEFACILITY NUMBER:
496802052
ADMINISTRATOR:ALICDAN JR, EDWARDFACILITY TYPE:
740
ADDRESS:3101 BRUSH CREEK ROADTELEPHONE:
(707) 537-0399
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:13CENSUS: 8DATE:
03/04/2026
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Luingning “Bot” Alicdan, LicenseeTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Personal Rights: Staff Member Yelled at Resident in Care
INVESTIGATION FINDINGS:
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At approximately 12:25 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to deliver Complaint findings regarding the above allegation. Licensee, Luingning “Bot” Alicdan arrived at 1:00 PM.

During the course of the investigation LPA conducted a facility visit, conducted interviews, collected and reviewed documents.

Complaint alleges a staff member yelled at a resident in care. A witness reported that they saw a facility resident (resident R1) sitting on the floor of their room and that a staff member (staff member S1) was yelling at them telling them to “shut up” and “don’t move” as they were using a Hoyer lift to get the resident off of the floor. When the witness questioned staff member S1 they were told, “get out of here, mind your business”.

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

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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 2
Control Number 21-AS-20260115120823
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: BETSY'S II RCFE
FACILITY NUMBER: 496802052
VISIT DATE: 03/04/2026
NARRATIVE
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...Continued from 9099

The facility submitted a LIC-624 Unusual Incident/Injury Report stating that the resident slipped off of their chair. LPA interviewed resident R1. When asked if the staff have ever yelled at them resident R1 stated, “No, I don’t remember. I would have yelled back at them if they had”. LPA asked resident R1 if they have ever been dropped or hurt while transferring with staff assistance. Resident R1 stated, “no”. LPA asked resident R1 if staff have ever treated them maliciously or if staff have yelled at them. Resident R1 stated, “no”. LPA asked resident R1 if they have any complaints about living conditions or any complaints about how they are being treated. Resident R1 replied, “no, but if I have a problem with anything, I tell them”. LPA interviewed several other facility residents. The other residents stated that they have never witnessed any staff yelling at them or other residents. When LPA interviewed staff members, they stated that they have not yelled at residents but sometimes talk loudly as some residents are hearing impaired. 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.

No deficiencies cited during today's visit.



Exit interview conducted. Copy of LIC9099 and LIC9099-C discussed and provided to Licensee, Luingning “Bot” Alicdan. Signature on form confirms receipt of documents.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2