496830756-2-18-2026-21-AS-BMOS-DREVRG-20260218153956

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496830756
Report Date: 02/18/2026
Date Signed: 02/18/2026 03:26:13 PM

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
10/20/2025 and conducted by Evaluator Marisol Cuadra

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20251020122315

FACILITY NAME:	MUIRWOODS MEMORY CARE		FACILITY NUMBER:	496830756
ADMINISTRATOR:	HEATHER MONTGOMERY		FACILITY TYPE:	740
ADDRESS:	750 NORTH MCDOWELL BLVD		TELEPHONE:	(707) 775-4330
CITY:	PETALUMA	STATE: CA	ZIP CODE:	94954
CAPACITY:	80	CENSUS:	DATE:	02/18/2026
		ANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Heather Montgomery (Administrator)		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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-Staff not preventing outbreak of scabies.
-Staff does not provide medical attention to residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with heather Montgomery (Administrator).

There is an allegation of staff not preventing the outbreak of scabies. According to the reporting party almost 98% of residents (unknown names) have scabies and they are not receiving care for their scabies including ointments. During the course of the investigation, LPA Hansen conducted interviews, made observations and reviewed records. On 10/28/25 LPA conducted a 10-day visit and made observations while residents were eating their lunches, two residents (R1 & R2) were observed scratching themselves. Based on records review, the facility provided R1’s care notes entered by a third-party agency on 10/31/25 at 4:16pm; They are assisting R1 with unrelated conditions and were notified by the facility that R1 was scratching their abdominal area, but no rash was observed. Also, R2’s physician report determines that R2 has been regularly treated by their physician for a history of itchy skin on arms and legs due to a previous diagnosis that affects their skin condition. Continue on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

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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Control Number 21-AS-20251020122315

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: MUIRWOODS MEMORY CARE	FACILITY NUMBER: 496830756
	VISIT DATE: 02/18/2026

NARRATIVE

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Continued from LIC9099...

R2’s care notes entered by a third-party agency for the month of October 2025 confirmed that they are providing treatment and the facility was instructed to follow CDC guidelines. Additionally, the facility has previously implemented a plan to address this ongoing issue including a prophylactic approach along with daily skin monitoring of the residents, they were instructed by the Department of Public Health to implement CDC guidelines including isolation and deep-cleaning preventive measures. A finding that the allegation of staff not preventing the outbreak of scabies is unsubstantiated meaning that 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.

Another allegation regarding staff does not provide medical attention to residents. Per Reporting Party, facility staff are aware that about 98% of the residents (unknown names) have scabies, but the facility are not scheduling doctor’s appointments, and no actions are being taken to prevent the outbreak. LPA Hansen attempted unsuccessfully to speak with complainant on 10/22/25 at approximately 11:02am, 10/24/25 at approximately 1:29pm and 10/27/25 at 8:25am to gather additional information. Based on interviews conducted by LPA on 10/28/25 and 11/25/25 with staff (S1, S2, S3, S4, S5 & S6) and third-party agencies (I1), it indicates that back in August was the last time that a confirmed case of scabies was discovered, then back in September a resident was treated, but not confirmed. LPA reviewed incident report logs for this facility and both incidents were reported to the Department as well as to the resident’s responsible parties as stated in regulations. LPA is unable to determine if any other incidents have happened at a different date and the complaint did not provide any additional information that could lead the investigation to a specific resident or date when these incidents might occur. The finding that the allegation of staff does not provide medical attention to residents is unsubstantiated, meaning that 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.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

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