496803929-9-1-2026-21-AS-KMOA-DXYSRZ-20260916140710

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496803929
Report Date: 09/01/2026
Date Signed: 09/01/2026 02:37:14 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
08/26/2026 and conducted by Evaluator Marisol Cuadra

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20260826150828

FACILITY NAME:	MAGGIE'S CARE HOME		FACILITY NUMBER:	496803929
ADMINISTRATOR:	GARCIA, HEHERSON M		FACILITY TYPE:	740
ADDRESS:	916 RENEE COURT		TELEPHONE:	(707) 293-9833
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95401
CAPACITY:	6	CENSUS: 5	DATE:	09/01/2026
		UNANNOUNCED	TIME BEGAN:	12:12 PM
MET WITH:	Heherson Garcia (Licensee)		TIME COMPLETED:	02:53 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Staff do not provide a safe environment for resident in care.
-Staff do not safeguard resident's cash resources.
-Staff do not provide resident with telephone service.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Cuadra conducted an unannounced visit and met with Licensee, Heherson Garcia. LPA came to the facility to investigate complaint allegations listed above and delivered findings.
The department received an allegation of staff do not provide a safe environment for resident in care. Per reporting party, resident (R1) reported not feeling safe and feeling like people around them are financially taking advantage of them. On 9/1/26, LPA conducted 10-day visit, made observations, reviewed residents’ records and conducted interviews with staff and residents in care. Based on interviews conducted with licensee, residents (R1, R2 and R3) and outside parties (I1 and I2) listed as their emergency contacts. It was determined that R1 had several incidents of financial abuse where pertinent agencies are already involved, but these incidents happened prior to R1’s admission to the facility. Residents (R1, R2 and R3) did not provide any supporting evidence that indicates that residents could not feel safe at the house. Continued on LIC9099C...

Unsubstantiated

Estimated Days of Completion: 90 days

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026

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-20260826150828

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: MAGGIE'S CARE HOME	FACILITY NUMBER: 496803929
	VISIT DATE: 09/01/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC9099...

A finding that the complaint allegation of staff do not provide a safe environment for resident in care is unsubstantiated meaning that 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.

Another allegation of staff do not safeguard resident's cash resources. According to reporting party, R1 has a diagnosis of dementia, but is having a long-distance relationship with someone that they gave their bank account information. On 8/26/2026, the reporting party stated that they don't know if anyone at the facility is financially abusing R1 and there was no additional information given. Based on R1’s physician report dated 7/24/26, it was confirmed that R1 has a diagnosis of dementia, PTSD, R1 can manage their own cash resources with supervision. However, the facility does not handle residents’ cash resources, resident personal property and valuables (LIC621) confirmed that there were no valuables listed when R1 moved into the facility. A finding that the complaint allegation of staff does not safeguard residents’ cash resources is unsubstantiated meaning that 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.

Last allegation of staff do not provide resident with telephone service. Per reporting party, R1 reported not having access to a private phone. Based on interviews conducted with residents (R1, R2 and R3) indicates that residents can place private calls when they need to call anybody and they are able to locate where the facility phone is in the living room. Two out of the three residents (R2 & R3) have cellphones in their possession during LPA’s visit; they confirmed that staff doesn’t take their cellphones away from them. According to licensee, four out of five residents have a cellphone with them. Based on LPA’s observations, the facility is unlocked, located in the living room. A finding that the complaint allegation of staff do not provide resident with telephone service is unsubstantiated meaning that 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: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2