Follow-up·November 13, 2025

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a case management for change in fire clearance and was greeted by Administrator, Robert Rubio. On 11/6/25 Santa Rosa Fire Department (SRFD) conducted a fire inspection and fire clearance was granted for a single family dwelling unit (SFD) at 645 Bambi Lane, Santa Rosa, CA 95409. SFD has a capacity of two (2). Facility already has three (3) other SFD units with fire clearance granted at: 637 Bambi Lane with a capacity of two (2), 641 Bambi Lane with a capacity of two (2), and 649 Bambi Lane with a capacity of two (2). All SFD units are part of the Independent Living (IL) portion of the facility. Although the licensee has added the SFD unit, an increase in capacity is not being requested at this time. At approximately 3:00pm LPA and Admin toured 645 Bambi Lane. All exits were free from obstruction. LPA did not observe any tripping hazards present. LPA and Admin toured residence. SFD is a one story three (3) bedroom two (2) bath with a large outdoor deck. Smoke alarms and carbon monoxide detectors are present and operational. As of today 11/13/25, LPA advised Admin that IL residents can now occupy the SFD at 645 Bambi Lane. In addition to today's fire clearance inspection visit, LPA discussed with Admin a recent incident report (IR) received on 11/10/25. IR submitted for R1 indicating they had eloped from the facility on 11/2/25. Previously, R1 had eloped on 10/10/25 and LPA cited the facility for the elopement on 10/31/25. At approximately 9:45pm on 11/2/25, facility was notified by EMTs that they had R1 and were transporting them to the hospital. Facility was informed that R1 would not be returning to the facility as they were admitted to skilled nursing. Subsequently, facility had meeting with R1's responsible party. Responsible party advised Admin that R1 now requires a higher level of care than Friend's House can provide and so R1 will not be returning. Continued on 809C... Continued from 809... Facility conducted staff training on elopement prevention and resident redirection. Additionally, facility put in place Wanderguard, a wander management system. R1 was participating in Wanderguard by wearing a bracelet, but on the day of the incident, the bracelet was found to be removed from R1's person. Admin advised LPA that facility does not view the implementation of Wanderguard as a total means of protection against elopement. So, facility has also implemented a one hour check policy for all those residents identified as an elopement risk. LPA discussed with Admin the importance of staff awareness regarding elopement, wandering, and sundowning behavior. Admin advised LPA that they are selective in screening potential residents and acknowledge and value the need to appropriate supervision. LPA and Admin discussed personal rights regulation 87468.2(a)(4), that all residents must receive care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. No citations issued at this visit. Exit interview conducted with Administrator and a copy of this report was given.