496804020-7-9-2026-21-AS-BMOS-DW6T9U-20260720143231

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496804020
Report Date: 07/09/2026
Date Signed: 07/09/2026 09:52:40 AM

Unsubstantiated

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
06/26/2026 and conducted by Evaluator Marisol Cuadra

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20260626100723

FACILITY NAME:	GENESIS RCFE		FACILITY NUMBER:	496804020
ADMINISTRATOR:	GALICIA, DARWIN		FACILITY TYPE:	740
ADDRESS:	1004 S MCDOWELL BLVD		TELEPHONE:	(707) 559-5782
CITY:	PETALUMA	STATE: CA	ZIP CODE:	94954
CAPACITY:	6	CENSUS: 5	DATE:	07/09/2026
		UNANNOUNCED	TIME BEGAN:	09:04 AM
MET WITH:	Darwin Galicia (Administrator)		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Staff are verbally abusive to residents.
-Staff do not provide a comfortable environment for residents in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Cuadra arrived unannounced to delivered findings regarding the allegations listed above and met with Darwin Galicia, Administrator.
The Department received an allegation of staff are verbally abusive to residents. According to the Reporting Party, on 6/24/2026, resident (R1) disclosed that staff at the facility are verbally abusive with residents. On 6/29/26, LPA conducted 10-day visit to the facility, made observations, reviewed records and conducted confidential interviews with staff (S1, S2 & S3) and residents (R1, R2, R3, R4 & R5). Based on interviews conducted with residents (R1, R2, R3, R4 & R5) LPA learned that there are no instances of verbal abuse between staff and residents’ interactions. Based on records review of residents’ physician reports and care plans indicate that two out of five residents (R2 & R3) has a diagnosis of dementia, but records review did not reveal any evidence to support above allegation. A finding that the complaint allegation of staff is verbally abusive to residents is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continue on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

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 2

Control Number 21-AS-20260626100723

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: GENESIS RCFE	FACILITY NUMBER: 496804020
	VISIT DATE: 07/09/2026

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...

Another allegation of staff does not provide a comfortable environment for residents in care. Reporting party raised concerns about the safety of the residents after resident (R1) disclosed that they and other residents (names unknown) do not always feel safe. No additional details were provided. LPA conducted 10-day visit to the facility on 6/29/26, made observations, reviewed records and conducted confidential interviews with residents (R1, R2, R3, R4 & R5) and staff (S1, S2 & S3) which did not indicate that the environment could be hostile. There were no accounts provided to support the allegation that staff did not provide a comfortable environment, and LPA was not provided with additional information including names, locations, dates, times or any specific incident. The finding that the allegation of staff does not provide a comfortable environment for residents in care is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2