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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803839
Report Date: 11/20/2025
Date Signed: 11/20/2025 06:05:16 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
10/08/2025 and conducted by Evaluator Dina Alviso
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20251008144720
FACILITY NAME:FAMILY HOUSEFACILITY NUMBER:
496803839
ADMINISTRATOR:GUZMAN ESTELITA, MARIA VFACILITY TYPE:
740
ADDRESS:6084 COUNTRY CLUB DRIVETELEPHONE:
(707) 843-7367
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY:9CENSUS: 6DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Rhonel Recinto-Lead CaregiverTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff are violating the personal rights of residents' in care
Staff did not ensure residents' had the ability to request assistance when needed
Staff did not provide timely incontinence care to resident
Staff did not provide adequate supervision for residents
Staff did not report incidents involving resident as required
Staff did not ensure food served to residents was free from foreign objects
Staff did not ensure resident received adequate nutrition.
Staff did not provide medication to the resident as prescribed
INVESTIGATION FINDINGS:
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LPA Dina Alviso conducted a complaint inspection, on 11/20/25 at approximately 1:35pm, and met with Rhonel Recinto, Lead Caregiver. LPA observed a second caregiver on duty, Marion Abayata.

Reporting party alleged "staff are violating the personal rights of residents' in care, staff did not ensure residents' had the ability to request assistance when needed, staff did not provide timely incontinence care to resident, staff did not provide adequate supervision for residents, staff did not report incidents involving resident as required, staff did not ensure food served to residents was free from foreign objects, staff did not ensure resident received adequate nutrition, and staff did not provide medication to the resident as prescribed.

The LPA reviewed resident records, and staff records; The LPA requested copies of documents. The Lead caregiver Rhonel provided LPA with all requested copies. The Administrator provided additional documents as requested by the LPA after initial facility visit. The LPA conducted interviews with staff, and other related parties regarding the allegations reported.
Continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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 2
Control Number 21-AS-20251008144720
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: FAMILY HOUSE
FACILITY NUMBER: 496803839
VISIT DATE: 11/20/2025
NARRATIVE
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The Administrator provided additional documents as requested by the LPA after initial facility visit. The LPA conducted interviews with staff, and other related parties. The investigation revealed that per staff interviews, incontinent residents are checked every two to three hours or more often as needed, to be cleaned and changed. Incontinent care is provided through the late night and noc shift hours, at 9pm/10pm, 12am, 3am, 6am, and outside of these hours if resident needs incontinent care. The facility has a sufficient supply of food to provide meals, drinks, and snacks to all residents' in care as needed/required. Per interviews with other related parties, the food provided is good, and in sufficient amounts. If residents don't want the served meal, the staff offer another type of meal that the resident chooses to eat. Per staff interviews, the food is never a problem here, there is a lot of food to provide all meals and snacks, drinks and coffee, including deserts. Per interviews, food is served with no objects of any kind that are not part of the meal, no foreign objects that staff state they were aware of. All resident are provided the call buttons so they may ring to staff for assistance needs. There were no call bells observed to be out of reach to residents in care. Staff stated they respond to residents' calls for assistance, and this is in the night and noc shifts as well as during the day. Per review of records, none of the residents in care are documented as a one to one care need, no care plans state level of care as one to one. The staff care for multiple residents at the same time, providing care assistance. No information was able to be obtained to support medication violations had occurred. There were no incidents that the LPA could obtain sufficient information to support violations had occurred. There were no specific identified dates and/or time frame of staff having handled the resident in a rough manner and/or hitting of a resident in care; No information was obtained to support resident personal rights are violated.
The LPA reviewed with staff the regulations regarding resident personal rights, food service, emergency call bells/buttons, incontinent care, medication assistance, reporting requirements, caregiver duties/training, and ensuring personal privacy of all residents' in care. Staff stated their understanding to the LPA.

Per investigation, there was no information obtained to support violations occurred regarding reported allegations of "staff are violating the personal rights of residents' in care, staff did not ensure residents' had the ability to request assistance when needed, staff did not provide timely incontinence care to resident, staff did not provide adequate supervision for residents, staff did not report incidents involving resident as required, staff did not ensure food served to residents was free from foreign objects, staff did not ensure resident received adequate nutrition, and staff did not provide medication to the resident as prescribed.

Based on record reviews, interviews conducted, and information obtained, there is no evidence to support the violations occurred. The allegations are UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies cited. Report copy left with Rhonel Recinto.
Exit interview was conducted with Lead Caregiver, Rhonel Recinto.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
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