576804189-2-5-2026-21-AS-KMOA-DR8PPV-20260212103009

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 576804189
Report Date: 02/05/2026
Date Signed: 02/05/2026 05:28:11 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
11/06/2025 and conducted by Evaluator Jill Nakagawa

COMPLAINT CONTROL NUMBER: 21-AS-20251106083953

FACILITY NAME:	ALAGA RANCH		FACILITY NUMBER:	576804189
ADMINISTRATOR:	ABDALLA,DOUGLAS		FACILITY TYPE:	740
ADDRESS:	34606 CA-16		TELEPHONE:	(530) 668-8444
CITY:	WOODLAND	STATE: CA	ZIP CODE:	95695
CAPACITY:	23	CENSUS: 12	DATE:	02/05/2026
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Maggie Perri, House Manager		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Residents in care sustained falls due to neglect/lack of supervision
Staff mismanaged residents' medications
Staff did not ensure that the facility was kept free of rodents
Staff do not have proper training

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nakagawa arrived unannounced to complete an investigation and deliver findings regarding the above allegations. LPA met with House Manager Maggie Perri.

The complaint alleges Staff did not ensure that the facility was kept free of rodents. The reporting party states that staff have seen several rats in the food storage room. LPA performed an inspection of the facility on 11/07/2025 and 02/05/2026 and found no sign of rodents or rodent droppings in the facility including food storage areas by the refrigerators on the back porch or in food storage areas in the kitchen or pantry. AM duty staff were questioned and 3 of 3 staff said that they had not seen any rodents inside the facility.

Continued on 9099-C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

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-20251106083953

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: ALAGA RANCH	FACILITY NUMBER: 576804189
	VISIT DATE: 02/05/2026

NARRATIVE

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Continued on 9009-C.....

House Manager provided billing statement from pest control who regularly inspect and mitigate rodents and other pests from infesting the facility. LPA found the facility taking all necessary precautions, including providing barriers at the base of the doors to keep pests from entering the premises, setting traps and employing pest control company. Based on LPA’s inspections and facility’s mitigation practices the allegation that Staff did not ensure that the facility was kept free of rodents is UNSUBSTANTIATED although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED.

The complaint alleges that Residents in care sustained falls due to neglect/lack of supervision. The reporting party stated that Staff are not able to supervise all residents in care, which has resulted in falls. RP provided no information about the names or dates of residents sustaining falls. LPA reviewed incident reports from April 1, 2025 through November 30, 2025 and found only one reported fall of Resident (R1) on 5/14/2025. LPA interviewed House Manager and Lead Caregiver who stated they check on residents at least every two hours, and there was only the one unwitnessed fall of R1. Resident 1’s care plan does not indicate resident required on one-to-one supervision. LPA observed that residents routinely spend the day together in the great room of the main building, under constant care and supervision of care staff. Based on LPA observation, residents’ care plan, incident reports and staff interviews, the allegation that Residents in care sustained falls due to neglect/lack of supervision is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence to substantiate the allegation therefore the allegation that Residents in care.

The complaint alleges that Staff mismanaged residents’ medications and staff do not have proper training. The reporting party states Staff are not able to provide medications to residents on time and some staff do not have medication training which has caused medications errors. RP did not recall each resident’s name or specify a date or time when the incidents allegedly occurred. On 11/7/2025 and 02/05/2026 LPA reviewed the medication administration record (MAR) for the facility and found no irregularities for the months reviewed (October, November, December 2025 and January 2026).

Continued on 9099-C

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 21-AS-20251106083953

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: ALAGA RANCH	FACILITY NUMBER: 576804189
	VISIT DATE: 02/05/2026

NARRATIVE

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Continued from 9099-C

LPA also reviewed training records and found that staff administering medications had received the training required. Based on review of training records, the Medication Administration Record (MAR), the allegation that Staff mismanaged residents’ medications and staff do not have proper training are Unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC9099 (FAS) - (06/04)

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