570316115-7-14-2026-21-AS-KMOA-DVZVPP-20260715163705

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 570316115
Report Date: 07/14/2026
Date Signed: 07/14/2026 11:07:43 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
04/28/2026 and conducted by Evaluator Jill Nakagawa

COMPLAINT CONTROL NUMBER: 21-AS-20260428081200

FACILITY NAME:	CALIFORNIAN, THE		FACILITY NUMBER:	570316115
ADMINISTRATOR:	VALADEZ, FERNANDO		FACILITY TYPE:	740
ADDRESS:	1224 COTTONWOOD STREET		TELEPHONE:	(530) 666-2433
CITY:	WOODLAND	STATE: CA	ZIP CODE:	95695
CAPACITY:	130	CENSUS: 68	DATE:	07/14/2026
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Fernando Valadez, Administrator		TIME COMPLETED:	11:10 AM

ALLEGATION(S):

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Staff are not addressing bed bugs at facility
Staff do not provide residents with laundry service
Staff do not answer residents' call buttons in a timely manner
Facility smells malodorous
Staff do not serve residents meals free from contamination

INVESTIGATION FINDINGS:

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On 07/14/2026, Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conclude an investigation regarding the above allegations and deliver findings. LPA met with Administrator Fernando Valadez to discuss.

The complaint alleges Staff are not addressing bed bugs at the facility. The complainant states that since November 2025, the facility has had bed bugs but managers are not addressing the matter. LPA reviewed photos and text message from complainant which show the date of 02/15/2026. An incident report filed by Administrator self-reported the discovery of bed bugs in a resident’s room on the same date, 02/15/2026.

(Continued on 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026

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 3

Control Number 21-AS-20260428081200

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: CALIFORNIAN, THE	FACILITY NUMBER: 570316115
	VISIT DATE: 07/14/2026

NARRATIVE

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(Continued from 9099)

Administrator reported that the resident was moved from the infested room and an exterminator called, who responded in less than 24 hours, treating the infestation in the room and began a multi-step mitigation treatment for the building to ensure the bug infestation was isolated and treated completely. A statement from exterminator for the initial treatment is dated 2/16/2026. Based on the review of the exterminator’s treatment plan and moving the resident the allegation that Staff are not addressing bed bugs at the facility is Unsubstantiated. 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.

The complaint alleges that Staff do not provide residents with laundry service and Facility is malodorous. The complainant stated that due to lack of staff, residents are not receiving laundry service, that the facility smells bad and that residents' rooms are not being cleaned. LPA reviewed staffing schedules and timesheets for the laundry/housekeeping team and found adequate staffing. In addition, the facility has large capacity washers and dryers to wash residents’ clothes and beddings on demand, so soiled bed linens and clothing are washed quickly, without soiled linens producing malodorous smells. LPA toured the facility on several occasions (04/30/26, 07/02/26, 7/9/26) and checked several rooms on the first floor, second floor, hospice unit and memory care unit and found rooms to be clean and well-maintained, with no foul-smelling odors from garbage, soiled incontinence products or soiled laundry therefore the allegations that Staff do not provide residents with laundry service and Facility is malodorous are unsubstantiated. 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.

The complaint alleges that Staff do not serve residents meals free from contamination. The complainant states that staff serves residents expired food. Complainant stated that months ago residents became sick with diarrhea and vomiting and complainant feels that the residents' illnesses were related to the expired foods. LPA reviewed records and found no reported outbreaks at the facility within the last year. LPA inspected the kitchen on (10/17/2025, 4/30/2026, 7/7/2026) and found the kitchen to be clean and sanitary. Food was stored as per regulation, with expiration dates visible. No foods were found to be expired. Dietary staff were observed to be using appropriate food-handling protocols. Based on LPA’s observations the allegation that Staff do not serve residents meals free from contamination is unsubstantiated.

(Continued on 9099-C)

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026

LIC9099 (FAS) - (06/04)

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Control Number 21-AS-20260428081200

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: CALIFORNIAN, THE	FACILITY NUMBER: 570316115
	VISIT DATE: 07/14/2026

NARRATIVE

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(Continued from 9099-C)

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.

The complaint alleges that Staff do not answer residents' call buttons in a timely manner. This allegation was investigated under complaint #21-AS-20260306093501.

Findings reviewed with Administrator. A copy of the report was left with Administrator.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026

LIC9099 (FAS) - (06/04)

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