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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803241
Report Date: 05/28/2026
Date Signed: 05/28/2026 10:36:17 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
05/04/2026 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260504083857
FACILITY NAME:BROOKDALE CHANATEFACILITY NUMBER:
496803241
ADMINISTRATOR:PATRICIA GUSTINFACILITY TYPE:
740
ADDRESS:3250 CHANATE RDTELEPHONE:
(707) 575-7503
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:140CENSUS: 92DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:James Kennedy (Maintenance Director)TIME COMPLETED:
10:52 AM
ALLEGATION(S):
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-Facility does not have sufficient number of staff at all times to provide the services necessary to meet the resident's needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct to delivered findings regarding the allegation listed above and met with James Kennedy, Maintenance Director. Administrator, Patricia Gustin was not able to come to the facility, but was available by phone.
The Department received an allegation of facility does not have sufficient number of staff at all times to provide the services necessary to meet the residents’ needs. Per reporting party, the facility has only two caregivers for all floors in the morning, several staff are being asked to work two shifts due to staff shortages. Furthermore, staff come to residents’ rooms to clear call buttons to reflect no delay in staff responses, but they are not assisting residents with their needs because they stated that they were on light duty which means that there will be another staff who are assigned to come and assist residents with incontinent care needs. Based on LPA’s observations, on 5/14/26 during 10-day visit, LPA conducted interviews with staff and heard the pager kept sounding alerting staff that they were needed to assist residents in care. Based on records reviews, the facility census revealed that there are five floors for assisted living residents where currently there are approximately 68 residents and one floor designated for memory care unit where there are about 23 residents in care. Continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 21-AS-20260504083857
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: BROOKDALE CHANATE
FACILITY NUMBER: 496803241
VISIT DATE: 05/28/2026
NARRATIVE
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Continued from LIC9099...The facility provided staff schedule for the month of May 2026 indicating that there are two caregivers designated to assist residents in the assisted living area on Sundays through Wednesdays and Fridays, there is an extra staff designated, but they are in light duty, which means that they are unable to assist residents with incontinence care or assist with two people assistance if needed in the mornings, three caregivers assigned on Thursdays and Saturdays and one med-technician (med-tech) assigned in the mornings and afternoons; One caregiver assigned for night shift with one med-tech. Memory Care unit schedule for the month of May 2026 indicates that there are in average of about two to three caregivers to assist residents with incontinence care, fall risk or two people assistance needs including one of the two caregivers who are in light duty that alternates between both units and one med-tech. Two caregivers and one med-tech are assigned for night shifts in memory care unit. Based on interviews conducted by LPA with staff (S1, S2, S3, S4, S5 & S6) it was revealed that facility has only two staff assigned to work on assisted living unit to assist about 68 residents including residents with incontinence and hospice care needs between all five floors, and there are about two to three caregivers including staff who are in light duty to assist about 12 residents with incontinence care or needing two people assistance. Per staff, caregivers who are in light duty are not able to assist residents with current needs due to lifting restrictions. Furthermore, staff revealed that they have been assigned to perform laundry services as well as conduct activities for residents in care without them having any experience performing this task. However, Administrator indicated that the facility has a designated responsible employee who has at least one year of experience conducting group activities according to residents’ needs as stated by regulation. According to staff interviewed, it is revealed that med-tech rarely do help them assisting residents with incontinent care or two people assistance. Based on interviews conducted with residents in care (R1, R2 & R3) revealed that when they push their pendants, there are caregivers who come clear of their pendants and say that someone will come shortly to assist them, but on average it takes between 15-20 minutes until someone comes to assist them with incontinent care. According to Administrator, there are certain residents who has preference of certain caregivers and they decline other caregiver assistance until their preferred staff is available. Based on records review and interviews conducted by LPA with involved parties reflects conflicting information resulting in LPA is unable to determine if the facility has sufficient staffing or if the current number of staff present is able to provide the services necessary to meet the residents’ needs at all times. A finding that the complaint allegation occurs of facility does not have sufficient number of staff at all times to provide the services necessary to meet the resident's needs is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
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