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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496804136
Report Date: 09/26/2024
Date Signed: 09/26/2024 01:50:01 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
03/21/2024 and conducted by Evaluator Dina Alviso
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20240321142523
FACILITY NAME:HUNTER HOMEFACILITY NUMBER:
496804136
ADMINISTRATOR:ALLI, FUNMILOLA I.FACILITY TYPE:
734
ADDRESS:604 HUNTER LANETELEPHONE:
(909) 908-2766
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:4CENSUS: 4DATE:
09/26/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH: Funmilola (Lola) Alli-Licensee/Administrator TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Personal Rights
Facility is not meeting clients incontinent care needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alviso met with Licensee/Administrator Funmilola (Lola) Alli and Licensee Stanley Alli, on 9/26 at approximately 1:30pm, to deliver complaint findings.

LPA reviewed client records, interviewed seven (7) staff (S1, S3, S4, S5, S7, S9, S10), and other related parties. LPA toured the facility.

LPA obtained conflicting information regarding personal rights allegation of Licensee speaking inappropriately in the precense of a client; Police report obtained. LPA observed the clients and staff interacting when clients arrivied from day program (s). LPA observed activities being conducted with clients in care; An idividual arrived who sang and played music with clients in attendance. LPA observed clients with assigned staff during activities, and staff interaction with clients when providing services for them.

Continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
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-20240321142523
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: HUNTER HOME
FACILITY NUMBER: 496804136
VISIT DATE: 09/26/2024
NARRATIVE
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LPA obtained conflicting information regarding allegation of facility is not meeting clients incontinent care needs. The LPA observed the facilities common areas, bathrooms, hallways, and resident rooms, didn’t smell of urine/feces odors. The facility was observed to be clean and orderly. LPA observed staff doing laundry during the inspection.

All clients have care plans in place regarding current needs, including incontinent care. Client incontinent checks are done every 1 to 2 hours per interviews. Clients that are checked and found to be wet, are cleaned and changed; Bedding and other linens found to have been soiled/wet are changed as well. The investigation revealed that there was differing information obtained regarding reported allegations, and there wasn't sufficient information obtained to support violations had occurred.

Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations "personal rights and facility is not meeting clients incontinent care needs” are Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies cited.
Exit interview was conducted with the Licensee/Administrator Funmilola (Lola) and Stanley Alli.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2