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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 126804083
Report Date: 06/15/2026
Date Signed: 06/15/2026 04:49:37 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
06/08/2026 and conducted by Evaluator Victoria Bertozzi
COMPLAINT CONTROL NUMBER: 21-AS-20260608091429
FACILITY NAME:CARING COMPANIONS CARE HOMEFACILITY NUMBER:
126804083
ADMINISTRATOR:OHSHINNAH SAVAGEFACILITY TYPE:
740
ADDRESS:2641 HALL AVETELEPHONE:
(707) 442-5541
CITY:EUREKASTATE: CAZIP CODE:
95503
CAPACITY:15CENSUS: 10DATE:
06/15/2026
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Administrator Oshinnah SavageTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Lack of staff resulting in resident's care needs not being met
INVESTIGATION FINDINGS:
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Licensing Program Manager (LPM) Victoria Bertozzi arrived unannounced to initiate a complaint investigation regarding the above allegation and met with Administrator, Oshinnah Savage.

Documents were obtained and LPM conducted interviews.

Complaint alleges that a resident reported that they were wet and had been waiting for help stating that they had been waiting for 8 hours. Per complaint, staff indicated that they were the only caregiver assisting residents as the other caregiver was in the kitchen. Caregiver denied that the resident had been waiting 8 hours. Interview with Administrator indicated that there were not any residents that required two staff to assist them with transferring or other Activities of Daily Living.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: Victoria Bertozzi
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
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-20260608091429
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: CARING COMPANIONS CARE HOME
FACILITY NUMBER: 126804083
VISIT DATE: 06/15/2026
NARRATIVE
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Continued from LIC9099

Per review of staffing schedule at least two staff are on duty at all times with the exception of three of seven days where a staff was by themselves after 8:00pm until the NOC staff arrived. There is one staff scheduled for the NOC shift. Per Administrator, the facility will staff additional staff at night when there are residents who choose to stay up later. Three of three staff interviewed denied feeling overwhelmed or that they were unable to assist residents timely. Two residents were identified as able to be interviewed with one of the identified residents refusing an interview. Resident interviewed indicated that they receive "fast" assistance but have had at least one instance of being wet though they were unable to share how long they were wet or any details around the situation. Per Administrator, nine of ten residents wear incontinence briefs noting that some are able to change their own briefs while others only wear them as a precaution. Residents are toileted every two hours regardless of incontinence status with one resident being toileted every half hour to hour.

Although the allegation that Lack of staff resulting in resident's care needs not being met 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.

No deficiencies cited during this investigation.

Administrator will be emailed this report as printer is unavailable.
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: Victoria Bertozzi
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2