complaint·September 23, 2025

Continued from 9099... approximately 10:00am, Admin and HWD contacted Sonoma Sheriff Department (event #SON-250000229 and SON-250000383). Deputy arrived at facility to take report and view video footage of theft. R3's responsible party was notified. At approximately 2:30pm on 7/22/25, S4 was arrested by deputy. Facility immediately terminated S4 as they were being arrested. Case is still being investigated by law enforcement. S4's private residence was searched and additional items of theft from residents of the facility were recovered. Police report pending. Video footage of theft given to LPA. On 7/23/25, LPA visited the facility to conduct a case management about the reported theft and arrest of S4. Facility did submit to CCL the required SOC341 self-reporting the occurrence of theft and they noted abuse of the financial type at the facility by S4. LPA’s review of SOC341 indicates that both law enforcement and the Sonoma ombudsman were also notified. Prior to the incident of theft on 7/22/25, facility reported previous instances of theft to law enforcement: incident submission numbers P2C000177096 regarding resident (R1) and P2C000192304 regarding resident (R2), suspect unknown in each instance. Additionally, facility Administrator recorded the instance of missing items in their Resident Theft and Loss Record, as required by regulation. In April 2025, facility reported instance of theft pertaining to resident (R3) to law enforcement and CCL; event #SO250000229. For this occurrence there were only two staff that had access to the residence of R3. The facility has two sets of master keys, the locations of which are secure such that the keys are safeguarded. So, facility Administrator was able to narrow down the suspects by process of elimination, eliminating those staff that did not have access to the keys to the room of R3. Facility Administrator and facility Health and Wellness Director worked with law enforcement to determine the identity of the thief. During investigation, Administrator provided evidence to LPA showing her correspondence with law enforcement pertaining to the theft. However, law enforcement’s effort to identify the thief did not yield a result. Facility Administrator recorded the instance of missing items in their Resident Theft and Loss Record, as required by regulation. Continued on 9099C(2)... Continued from 9099C... In June 2025, facility had a report of suspected theft, but resident (R4) could not remember if they had misplaced the items in question or if they had indeed been stolen. Nevertheless, facility Administrator recorded the instance of missing items in their Resident Theft and Loss Record, as required by regulation. During investigation, LPA reviewed facility reports to and from law enforcement, facility reports of theft reported to CCL, and facility’s Resident Theft and Loss Record. To the best of LPA’s knowledge and review of documents, facility is found to have been complaint with regulation. Doors to residents rooms all have locking features; locks are present that require a key to open. Facility provides residents with the ability to lock their rooms, ensuring that their personal property can be safely secured. Master keys are kept secure and safeguarded. Additionally, LPA’s investigation of thefts finds that facility maintained compliance with Title 22 regulations in so far as they reported and recorded the instances of theft in compliance with regulation. Facility cannot control the ethical or moral behavior of staff. Upon discovering the identity of the thief, facility immediately terminated S4. Arrest of S4 resulted in S4’s admitting they were the thief behind the previous thefts of R1, R2, R3, and R4. So, although the allegations 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. No deficiencies cited.