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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486804191
Report Date: 09/04/2026
Date Signed: 09/04/2026 02:25:45 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
08/25/2026 and conducted by Evaluator Jill Nakagawa
COMPLAINT CONTROL NUMBER: 21-AS-20260825121452
FACILITY NAME:FARMSTEAD AT DIXON, THEFACILITY NUMBER:
486804191
ADMINISTRATOR:MARK REYESFACILITY TYPE:
740
ADDRESS:350 GATEWAY DRIVETELEPHONE:
(707) 676-5060
CITY:DIXONSTATE: CAZIP CODE:
95620
CAPACITY:96CENSUS: 85DATE:
09/04/2026
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Mark Reyes, AdministratorTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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Licensee does not ensure facility has adequate staffing to meet the needs of residents
INVESTIGATION FINDINGS:
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On 09/04/2026 Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conduct a complaint investigation regarding the above allegation. LPA met with Mark Reyes, Administrator to discuss.

The complaint alleges that the Licensee does not ensure facility has adequate staffing to meet the needs of residents. The RP states that the facility leaves the memory care residents in their rooms without checking on them at night. RP said the staff often leave the residents alone in a room to watch television as their activity time for the day. LPA inspected the memory care facility on 8/27/2026 and found residents in the dining room eating lunch. At the time of visit there were 22 residents and 3 care staff, 1 activities director, 1 med. tech., 1 one dining staff and 1 housekeeper. A review of staff schedules shows that during AM and PM there are 3 care staff and 1 med. tech. on duty.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
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-20260825121452
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: FARMSTEAD AT DIXON, THE
FACILITY NUMBER: 486804191
VISIT DATE: 09/04/2026
NARRATIVE
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(Continued from 9099)

The NOC shift has a med. tech. and caregiver. According to care plans, residents are checked on at least every 2-4 hours throughout the night. LPA reviewed the activities schedule and found that there are activities scheduled throughout the day seven days a week with a full time activities director, specifically for the memory care unit. The activities director stated that residents are encouraged to participate in activities, however they can watch television if they choose - but residents are supervised at all times. Based on the interview of staff, and LPA’s observations of the memory care unit on 11/14/2025, 6/16/2026, 8/27/2026 and 9/4/2026 the allegation that Licensee does not ensure facility has adequate staffing to meet the needs of residents is unsubstantiated. 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.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2