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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045002629
Report Date: 04/04/2023
Date Signed: 04/11/2023 08:18:11 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/01/2023 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 25-AS-20230201161131
FACILITY NAME:STEPPING STONES CCFFACILITY NUMBER:
045002629
ADMINISTRATOR:KUSSEROW-FRAZIER, ANNETTEFACILITY TYPE:
735
ADDRESS:215 VALLEY VIEW DRTELEPHONE:
(530) 534-4464
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:6CENSUS: 4DATE:
04/04/2023
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Annette Frazier - licenseeTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff providing care to residents while under the influence of marijuana. – UNSUBSTANTIATED

Staff transporting residents in vehicle while under the influence of marijuana. – UNSUBSTANTIATED
INVESTIGATION FINDINGS:
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04/04/2023 1:00 PM Licensing Program Analyst (LPA) Rebecca Knight made an unannounced visit to the facility and met with licensee Annette Frazier. The purpose of this visit was to deliver the results of a complaint investigation. Prior to initiating the visit, LPA self screened for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask.
During the course of the investigation the licensee and 4 staff were interviewed. LPA reviewed the following documents from licensee: Resident list, staff list with telephone numbers, staff schedule for 02/01/2023, facility drug and alcohol policy.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023
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 25-AS-20230201161131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: STEPPING STONES CCF
FACILITY NUMBER: 045002629
VISIT DATE: 04/04/2023
NARRATIVE
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Staff providing care to residents while under the influence of marijuana. - UNSUBSTANTIATED

LPA reviewed training material “Substance & Drug Abuse Training. Drug Use Statistics and Demographics” that was recently conducted in the facility and attended by all staff.

4 of 4 staff stated they have never witnessed or heard about any staff providing care to residents while under the influence of marijuana.

Licensee stated staff absolutely do not smoke marijuana while on duty.

The allegation is unsubstantiated.

Staff transporting residents in vehicle while under the influence of marijuana. - UNSUBSTANTIATED

LPA reviewed training material “Substance & Drug Abuse Training. Drug Use Statistics and Demographics” that was recently conducted in the facility and attended by all staff.

4 of 4 staff stated they have never witnessed or heard about any staff transporting residents while under the influence of marijuana.

Licensee stated Our van was hit by a deer on November 23, 2022. We have not driven the clients in the van since it was in the accident.

LPA observed van parked in the driveway of the facility with significant front end damage.

The allegation is unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED.

An exit interview was conducted. A copy of the report was provided to licensee Annette Frazier.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023
LIC9099 (FAS) - (06/04)
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