496803402-7-15-2026-21-AS-VBEI-DW9VZS-20260723165311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496803402
Report Date: 07/15/2026
Date Signed: 07/15/2026 03:12:36 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
04/16/2026 and conducted by Evaluator Christi Coppo

COMPLAINT CONTROL NUMBER: 21-AS-20260416130250

FACILITY NAME:	REDWOOD RETREAT		FACILITY NUMBER:	496803402
ADMINISTRATOR:	MOESSING, ERIC		FACILITY TYPE:	740
ADDRESS:	4988 OLD REDWOOD HIGHWAY		TELEPHONE:	(707) 576-1119
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY:	15	CENSUS: 13	DATE:	07/15/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Caregiver		TIME COMPLETED:	03:27 PM

ALLEGATION(S):

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Staff did not address resident's change of condition.
Staff are not providing adequate meal service to resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced, to deliver findings for the above allegations. LPA was greeted by caregiver. Administrator Eric Moessing could not come to the facility but was available by phone and gave permission for caregiver to sign report.

Complaint alleges staff did not address resident's change of condition. Complainant states that on 4/15/2026 resident (R1) had a left sided facial droop lasting about 20 minutes, symptoms resolved within 20 minutes. During investigation, LPA reviewed medical records for R1 which indicate they were seen at the emergency room on 4/15/26 and diagnosed as having a Transient Ischemic Attack (TIA). During investigation, LPA conducted interviews with facility staff present on 4/15/26. All parties interviewed report that R1 was monitored by facility staff throughout the day. LPA observed communication between R1 and R1’s responsible party documented via text. Staff reported observing R1’s speech to be normal, not

Continued on 9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 21-AS-20260416130250

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: REDWOOD RETREAT	FACILITY NUMBER: 496803402
	VISIT DATE: 07/15/2026

NARRATIVE

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Continued from 9099...

slurred. LPA observed communication involving pictures and videos sent by facility staff to R1’s responsible party, with time stamps beginning at 11:54am through 2:02pm and ending at 4:35pm. LPA reviewed videos and pictures sent from staff to R1’s responsible party. Staff report they did not observe any changes in R1’s condition. R1’s responsible party then came to the facility, asked to use the facility computer, and after speaking with staff called 911. 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 are not providing adequate meal service to resident. Complainant states facility does not wake R1 up for meals and that staff wait for R1 to wake up naturally. During investigation, LPA received conflicting accounts of requests to wake R1 up for meals. Additionally, LPA reviewed physician’s report for R1. Report indicates no special dietary requirements other than low salt. 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. Exit interview conducted with caregiver and a copy of this report given.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026

LIC9099 (FAS) - (06/04)

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