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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496803583
Report Date: 02/26/2026
Date Signed: 02/26/2026 02:30:13 PM

Document Has Been Signed on 02/26/2026 02:30 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:ALCHEMIAFACILITY NUMBER:
496803583
ADMINISTRATOR/
DIRECTOR:		LIZ JAHRENFACILITY TYPE:
775
ADDRESS:394 TESCONI COURTTELEPHONE:
(707) 978-3229
CITY:SANTA ROSASTATE: CAZIP CODE:
95401
CAPACITY: 45CENSUS: 38DATE:
02/26/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Mary Gannon Graham (Artist Coordinator)TIME VISIT/
INSPECTION COMPLETED:
02:49 PM
NARRATIVE
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Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management and met with Mary Gannon Graham (Artist Coordinator). The purpose of the case management visit was to obtain additional information regarding one self-report submitted to the Department on 2/23/26 about inappropriate physical contact.

Per incident report, on 2/23/26 while Artist Mentor (S1) was assisting participant (P1) with getting settled at their desk during art class setup, then S1 stepped slightly to the side of the desk where P1 reached out, placed their hand on S1’s hip, slid their hand downward, and tapped their hip several times. S1 immediately stepped away and verbally stated, “Please don’t touch me.” P1 continued reaching toward S1 after this verbal boundary was stated. Artist Coordinator, instructed P1 to stop, but they did not immediately comply and continued reaching while stating sarcastically, “Take me home, take me home.” Artist Coordinator attempted to redirect the situation by changing the subject and S1 completed assisting P1 with setup. However, S1 reported feeling uncomfortable and stated that the contact felt intentional. After the incident, S1 reported that P1 expressed fear of being removed from the program and stated that P1 feels that they don't have no control when reaching out and touching others. Artist coordinator held a conversation with P1 to assess their perception of the incident leading to the conclusion that it was intentional, P1 was informed that this incident constituted a second warning under program expectations. When informed, P1 responded in a sarcastic manner. The facility notified pertinent responsible parties and it's closely monitoring their behavior.
Continue on LIC809C...
NAME OF LICENSING PROGRAM MANAGER: Bethany Moellers
NAME OF LICENSING PROGRAM ANALYST: Marisol Cuadra
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2026
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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Document Has Been Signed on 02/26/2026 02:30 PM - It Cannot Be Edited


Created By: Marisol Cuadra On 02/26/2026 at 01:37 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: ALCHEMIA
FACILITY NUMBER: 496803583

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/05/2026
Section Cited
CCR
82061(a)

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82061 Reporting Requirements (a) Upon the occurrence, during the hours the day program is providing services to the client, of any of the events specified in Section 82061(a)(1), a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in Section 82061(a)(2) shall be submitted to the licensing agency within seven days following the occurrence of the event. This requirement has not been met as evidence by:
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Artist Coordinator agrees to ensure that all Incident Reports are submitted to CCL according to Title 22 Regulations and they will submit a report and SOC341 for the incident that occurred on 2/10/26 to CCL as part proof of correction by POC due date.
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Based on LPA's observation, records review and interview, the facility failed to ensure Incident reports were completed for individuals involved in incidents with P1. This provides a potential risk to the Health and Safety to clients in care.
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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.
Bethany Moellers
NAME OF LICENSING PROGRAM MANAGER:
Marisol Cuadra
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/26/2026


LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: ALCHEMIA
FACILITY NUMBER: 496803583
VISIT DATE: 02/26/2026
NARRATIVE
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Continued from LIC809...

During today's visit, LPA followed up on this incident due to the self-incident report indicates that this is the second documented incident of inappropriate physical contact following a prior warning for similar behavior. LPA learned through interviews conducted with Artist Coordinator, where it was confirmed that this is the second time that this type of incident have happened and the facility did not report the first incident that it involved another Artist (P2). Artist Coordinator agrees to ensure that all Incident Reports are submitted to CCL according to Title 22 Regulations and they will submit a self-report and SOC341 for the incident that occurred on 2/10/26 to CCL. Based on records review, the facility provided a written suspension notice dated 2/10/26 at 2:29pm to pertinent P1's responsible parties after first incident that happened on 2/10/26 reported by Artist Mentor (S2), who witnessed P1 pull P2 into a hug and slid their hand down to their buttocks, then P1 stopped only after verbal intervention and suspended for three days, the incident was documented as warning one of three under the facility's disciplinary process. Following the incidents, the facility staff have met with P1's behaviorist to discuss a plan of action including extra activities to stimulate their mind and body, accountability, safety, support, progressive discipline and P1 was suspended from the program on both occasions. LPA reviewed P1's behavior plan dated 11/13/25 which confirms a history of P1 engaging in inappropriate behavior of invading personal space of others by attempting to hug others without their permission.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties

Exit interview conducted with Artist Coordinator and a copy of this report was given.
NAME OF LICENSING PROGRAM MANAGER: Bethany Moellers
NAME OF LICENSING PROGRAM ANALYST: Marisol Cuadra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC809 (FAS) - (06/04)
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