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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803929
Report Date: 01/22/2024
Date Signed: 01/22/2024 02:24:39 PM

Unfounded


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
11/30/2023 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20231130134321
FACILITY NAME:MAGGIE'S CARE HOMEFACILITY NUMBER:
496803929
ADMINISTRATOR:GARCIA, HEHERSON MFACILITY TYPE:
740
ADDRESS:916 RENEE COURTTELEPHONE:
(707) 293-9833
CITY:SANTA ROSASTATE: CAZIP CODE:
95401
CAPACITY:6CENSUS: 6DATE:
01/22/2024
UNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Heherson Garcia (Licensee)TIME COMPLETED:
02:39 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Staff are illegally evicting resident from the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with Licensee Heherson Garcia.
The Department received an allegation of staff are illegally evicting resident from the facility. Per Reporting party, resident (R1) was about to be evicted from the facility as of December 1, 2023, without an appropriate placement to reside due to outstanding fees owed to the facility. Based on records review, the facility was given a 30-day notice letter dated October 31, 2023, from R1’s responsible party indicating that R1 has exhausted all funding and will no longer reside in the facility as of November 30, 2023. During investigation, LPA conducted interviews with outside parties and licensee, who confirmed the veracity of the letter. Based on interviews conducted with various parties, licensee’s intentions are not to evict R1 from the facility, R1 is still residing in the facility receiving care and supervision with their responsible party actively working with pertinent agencies to find them adequate placement to meet their needs. This agency has investigated the complaint alleging staff are illegally evicting resident from the facility. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Bethany MoellersTELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Marisol CuadraTELEPHONE: (707) 588-5078
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2024
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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