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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801684
Report Date: 06/08/2026
Date Signed: 06/08/2026 02:35:26 PM

Substantiated


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
06/05/2026 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260605083934
FACILITY NAME:AA BEST CARE HOMESFACILITY NUMBER:
496801684
ADMINISTRATOR:AQUINO, NICANORFACILITY TYPE:
740
ADDRESS:857 HEARN AVE.TELEPHONE:
(707) 546-8413
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:40CENSUS: 27DATE:
06/08/2026
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Charito Santos (Administrative Assistant)TIME COMPLETED:
02:51 PM
ALLEGATION(S):
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-Residents' medications not being given per doctor's orders.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with administrative assistant, Charito Santos.

The Department received an allegation of residents' medications not being given by doctor's orders. Per the reporting party, resident (R1) has not received any medications including their psychiatric and blood thinner medications in at least two to four weeks due to facility did not obtain refills for R1. Based on records review, R1’s physician report dated 4/8/26 confirmed that R1 needs assistance with medication management. According to R1’s records, R1 was admitted to the facility on 4/17/26, prescribed with the following medications: apixaban (Eliquis) 5mg tablet, one tablet by mouth in the morning and one tablet before bedtime. Quetiapine (Seroquel) 50mg tablet, take one tablet by mouth three times daily as needed for psychosis along with other medications. However, facility medication logs revealed that the above medications and six other medications were listed and signed as given until 4/20/26 by the facility staff.
Continued on LIC9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2026
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-20260605083934
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: AA BEST CARE HOMES
FACILITY NUMBER: 496801684
VISIT DATE: 06/08/2026
NARRATIVE
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Continued from LIC9099...

but there are gaps observed by LPA and staff (S1) in the medication logs indicating that R1 was not given their prescribed medications in a time frame between 4/20/26 until 5/28/26 at 4:30pm. Based on interviews conducted by LPA with S1, R1 arrived with a cycle of medications that lasted until 4/20/26, but there was a change of pharmacy vendors resulting in their medications were not filled by the pharmacy until 5/28/26, which was also confirmed with the pharmacy vendors. S1 was not able to provide supporting evidence of their attempts to obtain prescribed medications filled sooner for r1. Previously, on 4/4/25 the department held an office meeting with facility Co-Licensees to address ongoing areas of concern including medication management. Based on records review and interviews conducted with staff it was revealed that residents’ medications were not given by doctor’s order. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. The Department will review documentation to determine if further actions are needed.

Exit interview conducted with Administrative Assistant and copy of this report was given.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20260605083934
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: AA BEST CARE HOMES
FACILITY NUMBER: 496801684
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/09/2026
Section Cited
CCR
87465
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Type A – 87465 Incidental Medical & Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for...medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met. (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement has not been met as evidence by:
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The administrative assistant agrees to review all residents’ medications to ensure that they have medications for all residents, then they will submit a written plan which addresses how facility will ensure compliance with 87465(c)(2) moving forward. The plan will be submitted to CCL by POC date in order to clear the deficiency.
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Based on LPA’s observations, records review and interviews with S1, R1 has not been assisted with their psychiatric medications between 4/20/26 through 5/28/26, which poses an immediate risk to the health and safety of residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3