<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803698
Report Date: 07/29/2025
Date Signed: 07/29/2025 02:32:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/20/2025 and conducted by Evaluator Shannan Hansen
COMPLAINT CONTROL NUMBER: 21-AS-20250620143140
FACILITY NAME:VINEYARD AT FOUNTAINGROVE, THEFACILITY NUMBER:
496803698
ADMINISTRATOR:DOWNEY, DENISEFACILITY TYPE:
740
ADDRESS:200 FOUNTAINGROVE PKWYTELEPHONE:
(707) 544-4909
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:64CENSUS: 22DATE:
07/29/2025
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Denise Downey, AdministratorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not issue resident’s authorized representative a timely refund
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPA) Hansen arrived unannounced to deliver complaint investigation findings regarding the above allegation and met with Denise Downey, Administrator.

Licensee did not issue resident’s authorized representative a timely refund- Complainant alleges their spouse who passed away at facility January 2024 and has yet to receive refund for the remainder of January’s rent. Documents obtained during investigation of Death Report submitted to CCL on 1/19/2024 indicated passing on 1/17/2024 as well as Death Certificate, Hospice Notes, Personal Effects Inventory signed by spouse on said date, and Witness of Removal by Mortuary signed by spouse on said date as well. On 2/24/2025 facility underwent a change of Management to Onelife Senior Living LLC that is now taking over responsibility for prior Management (Frontier Investments) of this complaint. Previous complaint of same allegation 21-AS-20240626141731 that was Substantiated revealed..

Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Shannan Hansen
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
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 3
Control Number 21-AS-20250620143140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: VINEYARD AT FOUNTAINGROVE, THE
FACILITY NUMBER: 496803698
VISIT DATE: 07/29/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Continued from LIC9099

Regional Vice President informed the accounting department within Frontier Senior Living was being closed at the beginning of May 2024 and then (subsidized out) finding an accounting firm. There was a laps of approximately one month in processing of refunds due to new firm having to go in and look through the files. Facility accounting documents revealed prorated rent for January 2024 with move out date of 1/18/2024. On 7/23/2025 facility sent refund check overnight and tracking report shows was delivered evening of 7/24/2025.
This agency has investigated the complaint alleging "Licensee did not issue resident's authorized representative a timely refund. Based on record review and interviews conducted, licensee did not pay the refund to the resident's Responsible Party within the required 15 days after the removal of resident's belongings, therefore the preponderance of evidence standard has been met, the above allegation is found to be SUBSTANTIATED.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Shannan Hansen
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 21-AS-20250620143140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: VINEYARD AT FOUNTAINGROVE, THE
FACILITY NUMBER: 496803698
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/30/2025
Section Cited
HSC
1569.652(c)
1
2
3
4
5
6
7
1569.652 Termination of admission agreement upon death of resident; removal of resident's property; refund of fees paid; notice of contract termination and refunds (c) A refund of any fees paid in advance covering the time after the resident's personal property has been removed from the facility shall be issued to the individual...responsible for the fees ..or..
1
2
3
4
5
6
7
CCL has obtained proof of payment received by UPS & Complainant interview.

8
9
10
11
12
13
14
resident's estate, within 15 days after the personal property is removed.
This requirement has not been met as evidenced by : Based on record review and statements received, licensee did not ensure the Health & Safety Code as required. This is a potential personal rights risk to residents.
8
9
10
11
12
13
14
 Deficiency cleared at time of visit…
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Bethany Moellers
LICENSING EVALUATOR NAME: Shannan Hansen
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3