045920055-1-29-2026-59-AS-LCRR-DQTVG9-20260130152510

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045920055
Report Date: 01/29/2026
Date Signed: 01/29/2026 11:54:23 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, 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
12/10/2025 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20251210135413

FACILITY NAME:	MONTE VISTA		FACILITY NUMBER:	045920055
ADMINISTRATOR:	WEBSTER, SIMONIE		FACILITY TYPE:	735
ADDRESS:	1262 14TH STREET		TELEPHONE:	(916) 624-7800
CITY:	OROVILLE	STATE: CA	ZIP CODE:	95965
CAPACITY:	12	CENSUS: 12	DATE:	01/29/2026
		UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Christa Carrasco - administrator		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff did not provide adequate supervision to client in care.- UNSUBSTANTIATED
Personal rights. - UNSUBSTANTIATED

INVESTIGATION FINDINGS:

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01/29/2026 11:35 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with administrator Christa Carrasco. The purpose of this visit was to deliver the results of a complaint investigation.

During the course of the investigation LPA toured the facility, conducted interviews and reviewed documents.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20251210135413

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MONTE VISTA	FACILITY NUMBER: 045920055
	VISIT DATE: 01/29/2026

NARRATIVE

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Staff did not provide adequate supervision to client in care. - UNSUBSTANTIATED

It was reported that a client began cooking on the stove completely unsupervised while staff had stepped away with another client.

Staff stated that staff were busy with other clients and when they saw that C1 had a pot of water staff intervened and C1 agreed to wait for staff to help them. Since the incident C1 lets staff know when they want to do things and staff watch C1.

Administrator stated they hadn’t heard of this incident. If the client wanted to cook they would be OK with it and would accommodate with the Translator app.

It was determined that there was one incident when C1 attempted to use the stove without notifying staff first. Now C1 is aware that they must notify staff when they want to cook. This allegation is unsubstantiated.

Personal rights. - UNSUBSTANTIATED

It was reported that a client does not speak English which has made it essentially impossible to communicate with the client and impairs their level of care.

On 12/11/2025 LPA toured the facility and saw signs hung throughout the facility that were written in Client 1’s (C1) language. LPA observed staff communicating with C1 using a translator app on their phone and C1 used their own phone to communicate with staff.

All staff interviewed stated they used a translator app on their phones to communicate with C1 without issues.

Administrator stated staff use a translation app or we have a Medi Cal translator that we call. We do groups in the client’s language and have signs on all doors in their language. The client’s family is very involved and will relay messages.

It was determined the facility has a Medi Cal translator available to accommodate C1’s communication needs. Staff are all trained on how to effectively communicate with C1 using mobile applications and C1 is proficient in using the apps. This enables staff and C1 to communicate effectively. This 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.

No deficiencies cited. Exit interview conducted and a copy of the report was provided to administrator Christa Carrasco.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

LIC9099 (FAS) - (06/04)

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