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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803228
Report Date: 06/16/2026
Date Signed: 06/16/2026 02:29:07 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
04/01/2026 and conducted by Evaluator Elias Magdaleno
COMPLAINT CONTROL NUMBER: 21-AS-20260401093416
FACILITY NAME:CRESTWOOD HOPE CENTERFACILITY NUMBER:
486803228
ADMINISTRATOR:WALLER, VINCENTFACILITY TYPE:
740
ADDRESS:115 ODDSTAD DRIVETELEPHONE:
(707) 552-0215
CITY:VALLEJOSTATE: CAZIP CODE:
94589
CAPACITY:24CENSUS: 21DATE:
06/16/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Lance Woodson, AdministratorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff does not provide resident medications as prescribed.
INVESTIGATION FINDINGS:
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At approximately 11:05AM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to deliver findings regarding the above allegation and met with Adminsitrator Lance Woodson.

Staff does not provide resident medications as prescribed - Reporting Party (RP) alleges that facility does not dispense medications to resident (R1) as prescribed. During the course of this investigation, LPA made observations, conducted interviews, and reviewed records. LPA observed residents coming to the medication room to request their medications and staff dispensed the medications, if multiple residents came with medication requests, they were asked to form a line and wait their turn. Interviews with four (4) of four (4) staff indicated that there had been no reports from residents or other staff of residents being denied medication.

Continued LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
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-20260401093416
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: CRESTWOOD HOPE CENTER
FACILITY NUMBER: 486803228
VISIT DATE: 06/16/2026
NARRATIVE
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Continued from LIC9099...

Further interviews with staff indicated that upon a PRN request from a resident, staff will ask the reason for the PRN, check the requested PRN against doctor’s order, and ensure the orders are followed correctly. Interviews with four (4) of six (6) residents indicated that they are dispensed medications upon request without incident, One (1) of six (6) residents interviewed indicated they do not have active medication orders. Review of R1s Medication Chart and Active Orders for March 2026 and May 2026 indicated that R1 is being dispensed medications as prescribed and PRN medications are being dispensed upon request. 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.

No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2