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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 037002705
Report Date: 11/05/2024
Date Signed: 11/05/2024 11:36:34 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/30/2024 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20241030092129
FACILITY NAME:COMMUNITY COMPASS, THEFACILITY NUMBER:
037002705
ADMINISTRATOR:SKIDMORE, RICHARDFACILITY TYPE:
775
ADDRESS:823 SOUTH HIGHWAY 49TELEPHONE:
(209) 223-3845
CITY:JACKSONSTATE: CAZIP CODE:
95642
CAPACITY:60CENSUS: 0DATE:
11/05/2024
UNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:Jody AciertoTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Facility is operating without liability insurance.
INVESTIGATION FINDINGS:
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On 11/5/24, at 9:50 a.m., Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced visit to initiate a complaint investigation regarding the allegation of operating without liability insurance.

Upon arrival, LPA met with Program Manager (PM) Jody Acierto, who was informed of the purpose of the visit. The investigation included interviews with key personnel and a review of relevant records.

During the interview with PM Acierto, it was confirmed that as of the date of the visit, this day program had been temporarily suspended by Valley Mountain Regional Center (VMRC) and would remain closed until further notice. LPA observed that no clients or day program participants were present at this facility during the visit.

A review of the Regional Office (RO) meeting held on November 4, 2024, with Licensee Richard Skidmore and VMRC representatives further confirmed that the facility’s liability insurance had been canceled.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024
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 3
Control Number 27-AS-20241030092129
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: COMMUNITY COMPASS, THE
FACILITY NUMBER: 037002705
VISIT DATE: 11/05/2024
NARRATIVE
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The Licensee reported that he was unable to secure new insurance for the S-Corp, as it had been dissolved.

In an interview with Licensee Richard Skidmore, it was confirmed that the facility does not currently have liability insurance. The Licensee stated that he is actively working to obtain new liability insurance, with plans to secure coverage by the end of the day on November 8, 2024. The urgency of obtaining insurance is due to the facility's current closure, and the licensee intends to reopen the day program as soon as insurance is in place.

Based on the information gathered during the investigation, the preponderance of evidence supports the allegation that the facility has been operating without liability insurance. Therefore, the allegation is SUBSTANTIATED.

In accordance with California Code of Regulations, Title 22, citations for deficiencies are documented on the LIC 9099-D form. Failure to correct these deficiencies may result in additional civil penalties.

An exit interview was conducted with PM and a copy of this report, along with appeal rights, were provided.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20241030092129
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: COMMUNITY COMPASS, THE
FACILITY NUMBER: 037002705
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2024
Section Cited
CCR
82064(g)
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The administrator shall be at the program site the number of hours necessary to manage and administer the program in compliance with applicable laws and regulations.

This requirement is not met as evidenced by:
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Per discussion with Licensee Richard Skidmore, he is currently in the process of obtaining a new Liability Insurance.

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Based on interviews and record review, the licensee did not comply the regulation cited above. It was discovered that the facility does not have a current liability insurance as required. This poses a potential health, safety and personal risks to persons in care.

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Per discussion with Richard Skidmore, a new liability insurance certificate will be submitted to the Department by POC due date 11/8/24.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024
LIC9099 (FAS) - (06/04)
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