Inspection Reports for Varenna at Fountaingrove
1401 Fountaingrove Pkwy, Santa Rosa, CA 95403, CA, 95403
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from May 13, 2025, was clean with no deficiencies cited. Earlier reports showed isolated issues such as a confidentiality breach in April 2021 and safety hazards related to housekeeping carts and hallway obstructions in April 2022, but these were addressed with required corrections. A single food storage deficiency was noted in May 2023, but subsequent inspections found no problems, showing improvement over time. No fines, enforcement actions, or severe findings were reported in the available records.
Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Capacity: 322
Deficiencies: 0
May 13, 2025
Visit Reason
The inspection was a continued annual inspection conducted on 05/13/2025 as part of the facility's annual regulatory oversight.
Findings
The facility was found to be in compliance with no deficiencies cited during the inspection. The facility maintains required plans including Infection Control and Emergency Disaster Plans, and staff training and clearances were verified.
Report Facts
Hospice waiver residents: 5
Staff files reviewed: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Don Rodreick | Administrator Assistant | Met with Licensing Program Analyst during inspection and exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Capacity: 322
Deficiencies: 0
Apr 24, 2025
Visit Reason
The inspection was a continued annual inspection conducted to evaluate compliance with licensing requirements for a continuing care retirement community.
Findings
No deficiencies were cited during this inspection. The facility was found to have complete resident files, required infection control and emergency disaster plans, and fire clearance approved for 322 residents. The Licensing Program Analyst will return to complete review of staff training and emergency drills.
Report Facts
Hospice waiver residents: 5
Resident files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with Licensing Program Analyst during inspection |
| Don Rodreick | Administrator Assistant | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the annual inspection |
| Bethany Moellers | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Capacity: 322
Deficiencies: 0
Apr 14, 2025
Visit Reason
The inspection was a required unannounced 1-year annual inspection conducted to evaluate compliance with licensing requirements for the continuing care retirement community.
Findings
The facility was found to be in compliance with no deficiencies cited during the inspection. Emergency preparedness, fire safety, infection control, and other regulatory requirements were reviewed and found satisfactory. Some documents were requested to be updated and submitted by 05/14/2025.
Report Facts
Hospice waiver residents: 5
Fire clearance capacity: 132
Fire clearance capacity: 72
Fire clearance capacity: 54
Fire clearance capacity: 64
Hot water temperature: 110.3
Hot water temperature: 117.5
Hot water temperature: 116.6
Stairwells: 5
Stairwells: 2
Stairwells: 2
Inspection start time: 1245
Inspection end time: 1705
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Don Rodreick | Administrator Assistant | Met with Licensing Program Analyst during inspection and exit interview |
| Norma Rudolph | Housekeeping Supervisor | Accompanied Licensing Program Analysts during facility tour |
| Bonafacio Carmona | Maintenance Director | Accompanied Licensing Program Analysts during facility tour |
| Gustavo Manriquez | Accompanied Licensing Program Analysts during facility tour | |
| Bethany Moellers | Licensing Program Manager | Named in report header and signature section |
| Dina Alviso | Licensing Program Analyst | Conducted inspection and signed report |
Inspection Report
Capacity: 322
Deficiencies: 0
Mar 13, 2025
Visit Reason
The inspection was a case management visit conducted to obtain information on a resident incident reported by the facility.
Findings
The Licensing Program Analyst reviewed resident records, facility policies, and interviewed staff regarding the incident. No deficiencies were cited during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with during inspection and exit interview. |
Inspection Report
Complaint Investigation
Capacity: 322
Deficiencies: 0
Mar 13, 2025
Visit Reason
The inspection visit was conducted in response to a complaint alleging that facility staff were not safeguarding residents' personal property and personal space.
Findings
The investigation found no evidence to substantiate the allegations. Resident R1's reported missing bracelet was recovered by the police, and no violations were found regarding personal property or personal space safeguarding. No deficiencies were cited.
Complaint Details
The complaint alleged that facility staff were not safeguarding residents' personal property and personal space. The investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred.
Report Facts
Facility capacity: 322
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with Licensing Program Analyst during complaint investigation and exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation visit |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
| Don Rodreick | Administrator Assistant | Met with Licensing Program Analyst during complaint investigation |
Inspection Report
Annual Inspection
Capacity: 322
Deficiencies: 0
Jul 31, 2024
Visit Reason
Licensing Program Analysts conducted an annual inspection on 07/31/2024 to evaluate compliance with regulatory requirements and facility operations.
Findings
The inspection found no deficiencies. Fire clearance was approved for multiple buildings, emergency drills were conducted as required, and resident and staff files were complete with required clearances and training.
Report Facts
Capacity: 322
Fire clearance capacity: 132
Fire clearance capacity: 8
Fire clearance capacity: 72
Fire clearance capacity: 54
Fire clearance capacity: 64
Resident files reviewed: 6
Staff files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator/Executive Director | Met with Licensing Program Analysts during inspection and participated in exit interview |
Inspection Report
Annual Inspection
Capacity: 322
Deficiencies: 0
May 23, 2024
Visit Reason
The inspection was a Required - 1 Year unannounced annual inspection conducted to evaluate compliance with licensing regulations for the continuing care retirement community.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. Emergency disaster supplies, infection control, medication storage, and safety measures such as evacuation chairs were all observed to meet requirements. Some documents were requested to be updated and submitted by 6/23/2024.
Report Facts
Hospice waiver residents: 5
Fire clearance non-ambulatory beds: 250
Fire clearance ambulatory beds: 72
Inspection duration hours: 7.75
Documents requested for update: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator/Executive Director | Met with Licensing Program Analyst during inspection |
| Don Rodreick | Administrator Assistant | Met with Licensing Program Analyst during inspection |
| Norma Rudolph | Housekeeping Supervisor | Accompanied Licensing Program Analyst during facility tour |
| Josh Borodic | Maintenance Director | Accompanied Licensing Program Analyst during facility tour |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Bethany Moellers | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Annual Inspection
Census: 236
Capacity: 322
Deficiencies: 1
May 30, 2023
Visit Reason
The inspection was a Required - 1 Year unannounced visit conducted to evaluate compliance with licensing regulations for the continuing care retirement community facility.
Findings
The facility was generally compliant with emergency preparedness, staff training, and resident record requirements. However, a deficiency was cited for improper food storage practices in the kitchen, where pizza toppings, pizza sauce, and salad bar items were uncovered and exposed, posing a contamination risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Improper storage of pizza toppings, pizza sauce, and salad bar items uncovered and exposed, risking contamination. | Type A |
Report Facts
Fire extinguishers: 239
Emergency supply bins: 14
Evacuation chairs: 9
Hospice waiver residents: 5
Plan of Correction due date: May 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met during inspection and involved in addressing food storage deficiency |
| Deborah Smith | Certified Administrator Assistant | Met during inspection and participated in exit interview |
| Dan Ferrarese | Maintenance Director | Accompanied LPA during kitchen tour and responsible for monitoring hot water temperatures |
| Norma Rudolph | Housekeeping Manager | Accompanied LPA during kitchen tour |
Inspection Report
Complaint Investigation
Capacity: 322
Deficiencies: 0
Apr 14, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to an allegation that the facility was not providing due refunds in a timely manner.
Findings
The investigation reviewed resident files, contracts, refund documentation, and conducted interviews. It was found that refunds, including entrance fees and monthly fees, were provided timely and in accordance with contracts. The allegation was determined to be unfounded with no violations or deficiencies cited.
Complaint Details
The complaint alleged that the facility was not providing due refunds in a timely manner. After review of records and interviews, the allegation was found to be unfounded, meaning it was false or without reasonable basis.
Report Facts
Capacity: 322
Refund timeframe: 14
Refund dates: Apr 7, 2023
Refund dates: Apr 13, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation visit |
| Ferdinand Buot | Administrator/Executive Director | Met with Licensing Program Analyst during investigation |
| Debbie Smith | Executive Director | Met with Licensing Program Analyst during investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 234
Capacity: 322
Deficiencies: 2
Apr 28, 2022
Visit Reason
The inspection was a Case Management - Annual Continuation visit focused on infection control procedures, staff records, hiring documents, vaccination information, and staff training at the facility.
Findings
The inspection found safety hazards including tools and rug scraps left in hallways during carpet installation in the South building, and unlocked housekeeping carts with accessible toxins/cleaners posing immediate health and safety risks to residents. Plans of correction were required to address these issues.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Tools, rug scraps, and other items left out in hallways during rug installation in the South building creating a safety hazard for residents. | Type A |
| Two housekeeping carts were found unlocked with toxins/cleaners accessible to residents in care. | Type A |
Report Facts
Capacity: 322
Census: 234
Plan of Correction Due Date: Apr 29, 2022
Proof of Training Submission Date: May 4, 2022
Hospice Residents: 5
Fire Extinguisher Service Date: Apr 18, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with during inspection and mentioned in report |
| Debbie Smith | Administrator Assistant | Met with during inspection and participated in exit interview |
| Dan Ferrarese | Maintenance Director | Met with during inspection and involved in facility tour |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection and signed the report |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
| Carla Martinez | Supervisor | Named as supervisor in report |
Inspection Report
Annual Inspection
Census: 234
Capacity: 322
Deficiencies: 0
Mar 29, 2022
Visit Reason
The inspection was a Required - 1 Year unannounced visit focused on infection control procedures and practices at the facility.
Findings
No deficiencies or citations were found during the inspection. The facility demonstrated compliance with infection control practices, had sufficient supplies including PPE and emergency food and water, and fire safety equipment was properly serviced.
Report Facts
Hospice residents: 5
Fire clearance capacity: 132
Fire clearance capacity: 72
Fire clearance capacity: 54
Fire clearance capacity: 64
Emergency supply bins: 14
Emergency supply bins: 7
Emergency supply bins: 3
Emergency supply bins: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with Licensing Program Analyst during inspection and mentioned in exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Debbie Smith | Assistant | Met with Licensing Program Analyst during inspection |
| Dan Ferrarese | Maintenance Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 236
Capacity: 322
Deficiencies: 0
Nov 5, 2021
Visit Reason
An unannounced complaint investigation was conducted following allegations that facility staff treated a resident inappropriately, including speaking rudely and loudly, pushing a resident's walker causing near loss of balance, and improper reassessment of the resident's care needs.
Findings
The investigation found insufficient evidence to substantiate the allegations of inappropriate staff behavior and improper reassessment. The allegations were determined to be unsubstantiated after review of resident records, interviews with staff and related parties, and examination of reassessment documentation and care plans. No deficiencies or citations were issued.
Complaint Details
The complaint was unsubstantiated. Allegations included staff speaking rudely and loudly to a resident, pushing the resident's walker causing near loss of balance, and failure to properly reassess the resident's care needs. Conflicting information was obtained during the investigation, and there was no preponderance of evidence to prove the violations occurred.
Report Facts
Facility capacity: 322
Census: 236
Number of staff involved in care incident: 3
Dates of reassessment: Reassessment started 2020-09-28 and completed 2020-10-02
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Ferdinand Buot | Administrator | Facility administrator involved in interviews and exit interview |
| Deborah Smith | Participated in exit interview | |
| Kimberley Mota | Licensing Program Manager | Oversaw complaint investigation |
| S3 | Registered Nurse | Conducted resident reassessment |
| S1 | Staff member involved in resident care and interviews |
Inspection Report
Census: 236
Capacity: 322
Deficiencies: 0
Nov 5, 2021
Visit Reason
The visit was a Case Management visit conducted to interview a resident and review records.
Findings
No citations were issued during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the Case Management visit. |
| Ferdinand Buot | Administrator | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Capacity: 322
Deficiencies: 0
Sep 9, 2021
Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation that the facility was not following COVID-19 safety protocols by requiring staff to work while symptomatic.
Findings
The investigation found that the facility has COVID-19 policies and procedures in place, including sending staff home if symptomatic or exposed. Staff interviews confirmed no instances of staff being required to work while symptomatic. The allegation was determined to be unfounded.
Complaint Details
The complaint alleged that the facility required staff to work while symptomatic with COVID-19. The allegation was found to be unfounded based on interviews, record reviews, and observations.
Report Facts
Capacity: 322
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met during complaint investigation and provided information on COVID-19 policies |
| Debbie Smith | Assistant Administrator | Met during complaint investigation and provided information on COVID-19 policies |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 236
Capacity: 322
Deficiencies: 0
Jun 18, 2021
Visit Reason
The inspection was an unannounced 1 Year annual inspection focused on the Infection Control procedures and practices of the facility.
Findings
The facility was found to have adequate infection control measures including PPE supply, screening procedures, and staff compliance with mask wearing. Fire safety equipment was properly serviced and no deficiencies were cited during the inspection.
Report Facts
Hospice residents granted: 5
Fire clearance bed counts: 132
Fire clearance bed counts: 8
Fire clearance bed counts: 72
Fire clearance bed counts: 54
Fire clearance bed counts: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with Licensing Program Analysts during inspection |
| Jane Torres | Health Services Director | Met with Licensing Program Analysts during inspection |
| Debbie Smith | Assistant Administrator | Met with Licensing Program Analysts during inspection and exit interview |
| Mindy Galloway | Health Services Director | Met with Licensing Program Analysts during inspection |
| Jenny Latourette | Activity Director | Met with Licensing Program Analysts during inspection |
Inspection Report
Complaint Investigation
Capacity: 322
Deficiencies: 0
May 27, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 05/24/2021 regarding the provider including factors not allowed by statutes for increasing monthly care fees and not charging for optional services listed in the contract.
Findings
Based on interviews with staff and residents and review of required notices, the allegation was found to be unfounded, meaning the allegation was false, did not happen, or lacked reasonable basis. No deficiencies were noted at this time.
Complaint Details
The complaint alleged that the provider included factors not allowed by statutes for increasing monthly care fees and was not charging for optional services listed in the contract. The investigation found no violation of statutes and the allegation was determined to be unfounded.
Report Facts
Facility capacity: 322
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with during investigation and provided requested documentation |
| Jennifer Walden | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Allison Nakatomi | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 322
Deficiencies: 1
Apr 20, 2021
Visit Reason
The inspection was an unannounced complaint investigation conducted due to a complaint received on 10/19/2020 regarding alleged confidentiality breaches and improper reassessment of a resident.
Findings
The investigation substantiated that resident personal information was not kept confidential when a letter was delivered folded and unsealed, exposing confidential information. The allegation that the resident was not properly reassessed was unsubstantiated due to insufficient evidence.
Complaint Details
The complaint was substantiated regarding the breach of confidentiality of resident personal information. The allegation that the resident was not properly reassessed was unsubstantiated due to insufficient evidence. Appeal rights were given.
Deficiencies (1)
| Description |
|---|
| Resident personal information was not kept confidential when a letter was delivered folded and not in a sealed envelope, leaving contents accessible to others. |
Report Facts
Facility capacity: 322
Citation number: 87468.1
Plan of Correction due date: Apr 30, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator | Met with Licensing Program Analyst during the investigation |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 322
Deficiencies: 0
Feb 10, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-01-05 regarding providers including factors not allowed by statutes for increasing the monthly care fee.
Findings
The Department reviewed multiple documents including the resident complaint, Certificate of Authority, financial presentations, and audited financial statements, and interviewed key personnel and complaining parties. It was determined that the legal fees, settlements, and fines were not included in the calculation of the monthly care fee increase and were not passed through to residents. Therefore, the complaint was found to be unfounded.
Complaint Details
Complaint was regarding providers including factors not allowed by statutes for increasing the monthly care fee. The complaint was investigated and found to be unfounded because the questioned costs were not considered in the monthly care fee calculations.
Report Facts
Facility capacity: 322
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Walden | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Allison Nakatomi | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Keith Fitzsimmons | Chief Financial Officer | Interviewed regarding financial records and monthly care fee calculations |
| Ferdinand Buot | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Capacity: 322
Deficiencies: 0
Nov 18, 2020
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to complaints alleging that the resident council was not receiving timely responses from the Licensee and that the facility’s emergency plan/notification system did not meet regulations.
Findings
The investigation found that the facility complied with all relevant stipulation and waiver requirements regarding emergency plans, resident notifications, and resident council responses. The allegations were determined to be unfounded, with no deficiencies cited during the visit.
Complaint Details
The complaint alleged that the resident council was not receiving timely responses from the Licensee and that the facility’s emergency plan/notification system did not meet regulations. After review of documents, interviews, and observations, the allegations were found to be unfounded.
Report Facts
Facility capacity: 322
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ferdinand Buot | Administrator / Executive Director | Met with during the investigation and provided information on emergency plans and resident council responses |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation visit |
| Carla Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report |
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