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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045002726
Report Date: 06/30/2022
Date Signed: 06/30/2022 02:45:07 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2022 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 25-AS-20220413151232
FACILITY NAME:PHOENIX HOUSEFACILITY NUMBER:
045002726
ADMINISTRATOR:DAVIDSON, WILLIAMFACILITY TYPE:
735
ADDRESS:43 MEADOWVIEW DRIVETELEPHONE:
(530) 353-3870
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:4CENSUS: 4DATE:
06/30/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Renee Rhodes- administratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff speaks to clients inappropriately - SUBSTANTIATED
INVESTIGATION FINDINGS:
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06/30/2022 1:30 PM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with Renee Rhodes, administrator for the facility. The purpose of this visit was to deliver the results of the complaint investigation of the above allegation. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire 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: Surgical Mask, gloves.

During the course of the investigation LPA interviewed 1 administrator, 4 staff, and 4 clients. LPA obtained the following documents to investigate the above allegations: Staff roster with telephone numbers, resident roster.

Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
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 6
Control Number 25-AS-20220413151232
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: PHOENIX HOUSE
FACILITY NUMBER: 045002726
VISIT DATE: 06/30/2022
NARRATIVE
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Staff speaks to clients inappropriately – SUBSTANTIATED

During client interviews 1 client stated No, and 3 clients were unable to answer LPA’s questions.

3 staff stated they had never witnessed staff speak inappropriately to clients. A former care staff admitted to LPA Knight during an interview that the former care staff was terminated due to yelling at C1.

Administrator stated In this house due to the level of individual we have to use a more direct tone because they are adult men. A former staff thought we were being mean to them but we were not.

Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview was conducted and the report was emailed to administrator Renee Rhodes.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 25-AS-20220413151232
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: PHOENIX HOUSE
FACILITY NUMBER: 045002726
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/14/2022
Section Cited
CCR
80072(a)(1)
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80072(a)(1) Personal Rights (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by:
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Licensee agrees to conduct staff training on personal rights of clients to be communicated with in a dignified manner. Licensee will submit subject matter of training, staff signatures and date of training as proof of training.
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Based on interviews, a former care staff admitted that they yelled at a client which poses a potential health and safety risk to residents in care.
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The proof of correction is to be received by LPA Knight by 7/14/2022.
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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: Troy Ordonez
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2022 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 25-AS-20220413151232

FACILITY NAME:PHOENIX HOUSEFACILITY NUMBER:
045002726
ADMINISTRATOR:DAVIDSON, WILLIAMFACILITY TYPE:
735
ADDRESS:43 MEADOWVIEW DRIVETELEPHONE:
(530) 353-3870
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:4CENSUS: 4DATE:
06/30/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Renee Rhodes- administratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff members eating marijuana edibles while on shift- UNSUBSTANTIATED
Staff member squirting water at clients from a water bottle- UNSUBSTANTIATED
Staff are not meeting the needs of residents in care- UNSUBSTANTIATED
INVESTIGATION FINDINGS:
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06/30/2022 1:30 PM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with Renee Rhodes, administrator for the facility. The purpose of this visit was to deliver the results of the complaint investigation of the above allegations. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire 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: Surgical Mask, gloves.

During the course of the investigation LPA interviewed 1 administrator, 4 staff, and 4 clients. LPA obtained the following documents to investigate the above allegations: Staff roster with telephone numbers, resident roster.

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

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 25-AS-20220413151232
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: PHOENIX HOUSE
FACILITY NUMBER: 045002726
VISIT DATE: 06/30/2022
NARRATIVE
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Staff members eating marijuana edibles while on shift – UNSUBSTANTIATED

During client interviews 1 client stated No, and 3 clients were unable to answer LPA’s questions.

3 staff stated they did not know anything about staff using marijuana edibles while on shift in the facility.

Interview with administrator revealed they could find no proof of staff using edibles anywhere.


Staff member squirting water at clients from a water bottle – UNSUBSTANTIATED

LPA review of staffing roster revealed that the staff named in the complaint is not on the facility staffing roster.

During client interviews 1 client stated No, and 3 clients were unable to answer LPA’s questions.

Staff interviews revealed that staff heard rumors about a staff member squirting a client with a water bottle but did not witness it, it was just a rumor.

Administrator stated the facility has looked into this allegation with all staff and could not find any evidence. No staff had witnessed this alleged incident.

Continued on LIC9099-C
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 25-AS-20220413151232
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: PHOENIX HOUSE
FACILITY NUMBER: 045002726
VISIT DATE: 06/30/2022
NARRATIVE
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Staff are not meeting the needs of residents in care – UNSUBSTANTIATED

During client interviews 1 client stated No, and 3 clients were unable to answer LPA’s questions.

During LPA’s visit on 4/19/2022 the clients were observed to be clean, well dressed, and properly cared for. LPA did not observe anything that would indicate that the client’s needs were not being met.


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 emailed to facility administrator Renee Rhodes.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 6