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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803751
Report Date: 01/09/2026
Date Signed: 01/09/2026 03:32:56 PM

Substantiated


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
10/15/2025 and conducted by Evaluator Robert Frank
COMPLAINT CONTROL NUMBER: 21-AS-20251015104959
FACILITY NAME:RIDGES AT HEALDSBURG, THEFACILITY NUMBER:
496803751
ADMINISTRATOR:RODRIGUEZ, BRANDEEFACILITY TYPE:
740
ADDRESS:725 GROVE STREETTELEPHONE:
(707) 433-4877
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY:82CENSUS: 38DATE:
01/09/2026
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Shauna Burton, Executive Director InterimTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Facility is not maintained in good repair and safe at all times
INVESTIGATION FINDINGS:
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At approximately 1:55 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to deliver Complaint findings regarding the above allegation and met with facility back up Executive Director Interim Shauna Burton.

Complaint alleges that the facility is not maintained in good repair and that it is not safe at all times. During the investigation, LPA conducted a facility visit, interviewed multiple witnesses and collected records. Reporting party stated, on 9/30/2025 in Memory care unit two (2) [MC2], the ceiling collapsed due to a water leak. The ceiling fell on a resident (resident R1) of the facility while they were sleeping. As a result of the ceiling collapse, resident R1 was transported to the Emergency Room for sustained injuries. Resident R1 was released later in the day and returned to the facility.

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

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
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 4
Control Number 21-AS-20251015104959
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: RIDGES AT HEALDSBURG, THE
FACILITY NUMBER: 496803751
VISIT DATE: 01/09/2026
NARRATIVE
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...Continued from 9099

LPA requested and was sent un-redacted emergency response documents from the City of Healdsburg Fire Department who responded to the facility’s 911 call. Additionally, the Fire Department sent photographs of the collapsed ceiling. The Fire Department report stated, “The piece of Sheetrock was approximately 3 foot by three foot square and upon further inspection looked as though it was inappropriately attached to the structural members where there was also a bucket up in the rafters which looked as if it were placed there to collect water from a roof leak. Medic 681 assisted the patient onto the gurney, and they were later transported to the hospital for evaluation and treatment of lacerations.” Noted sustained injuries are consistent with the after-visit summary provided by the hospital’s emergency department. Further inter-departmental emails from the Healdsburg Fire Department member HFD1 state, “the work that was done to hole up the section of dry wall looks to be poorly done.” Post accident repair invoices note, “fixed leak on ¾” hot pex line in ceiling,”. During staff interviews when asked when they first heard about the leak in the ceiling in room ten (10), a staff member stated, “for some time now, it would be leaking, then fixed, leaking then fixed.” In another interview when asked what was done to mitigate the potential for injury to the residents, a staff member stated, “we put a container underneath (the leak) to catch water.” Additionally, during an interview a staff member stated, “it was our fault the bucket fell”. Based on LPA’s interviews, photographic evidence, record review and express admission, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. As this repeat deficiency occurred within one (1) year of the previous citation, a Civil Penalty of $250.00 will be assessed.

Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty.

Exit interview conducted. Copy of LIC-9099, LIC-9099C, LIC9099D, LIC421FC, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Executive Director Interim Burton. Signature on form confirms receipt of documents.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
10/15/2025 and conducted by Evaluator Robert Frank
COMPLAINT CONTROL NUMBER: 21-AS-20251015104959

FACILITY NAME:RIDGES AT HEALDSBURG, THEFACILITY NUMBER:
496803751
ADMINISTRATOR:RODRIGUEZ, BRANDEEFACILITY TYPE:
740
ADDRESS:725 GROVE STREETTELEPHONE:
(707) 433-4877
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY:82CENSUS: 38DATE:
01/09/2026
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Shauna Burton, Executive Director InterimTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff consumed alcohol while on shift at the facility
INVESTIGATION FINDINGS:
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At approximately 1:55 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to deliver Complaint findings regarding the above allegation and met with facility Executive Director Interim Shauna Burton. Complaint alleges that Staff consumed alcohol while on shift at the facility. During the investigation, LPA conducted a facility visit and interviewed multiple witnesses. Reporting Party (RP) stated that certain staff members were consuming alcohol at the facility while working and that the alcohol is being kept in a refrigerator at the facility. RP provided a photograph of four (4) bottles of liquor in an undisclosed refrigerator. During facility inspection LPA did not find any liquor bottles as identified in the photograph provided by the RP. During interviews, LPA was unable to find any direct witnesses who saw staff members consuming alcohol at the facility. 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.
Exit interview conducted. Copy of LIC-9099S provided to Executive Director Interim Burton. Signature on form confirms receipt of documents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 21-AS-20251015104959
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: RIDGES AT HEALDSBURG, THE
FACILITY NUMBER: 496803751
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/12/2026
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by:
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Licensee to submit plans for how facility maintenance issues are to be reported by staff and how they will be able to assure that all repairs are completed in a timely manner that mitigates the risk to residents in care and staff to Community Care Licensing by POC due date of 1/12/2026.
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Based on interviews photographic evidence, record review and express admission the licensee did not comply with the section cited above in that the facility did not properly repair a leak in a hot pex line in Memory Care 2, room #10 which posed an immediate health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4