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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045920056
Report Date: 01/06/2026
Date Signed: 01/06/2026 03:58:45 PM

Document Has Been Signed on 01/06/2026 03:58 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MERAKEY - INSPIRATIONSFACILITY NUMBER:
045920056
ADMINISTRATOR/
DIRECTOR:		WIKES, JENNIFERFACILITY TYPE:
775
ADDRESS:3880 MORROW LANE, SUITE 30TELEPHONE:
(530) 774-2793
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY: 35CENSUS: 22DATE:
01/06/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Jennifer Wilkes, Program ManagerTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On January 6, 2025, Licensing Program Analyst (LPA) Kayla Adkison and Investigator Vincent Moleski arrived at the facility unannounced to conduct a Required Annual Inspection. LPA and Investigator met with Program Manager, Jennifer Wilkes, and explained the purpose of the visit. At the time of the inspection, 22 clients and 10 staff were present in the facility. LPA observed clients to be watching movies and interacting with staff at the time of the inspection.

LPA Adkison, Investigator Moleski, and Program Manager toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to: common areas, sensory room, changing room, four (4) bathrooms, med room, kitchen, and storage areas. Five (5) clients were observed to be strapped into wheelchairs utilizing seat belts. At least (1) one of the clients was observed to not be able to remove the seat belt on their own. Record review showed that the there is no exception for this client on file with Community Care Licensing approving the use of the restraint.

All areas observed were found to be clean and in good repair. LPA observed all walkways and ramps to be free of clutter or obstructions. All clients bring their lunches from home and staff assist with preparation. All cleaning supplies were observed to be kept locked and inaccessible to residents to care. During review of the med room, one (1) unknown medication, which appeared to be a vitamin, was found on the floor.

The facility was observed to be at a comfortable temperature. The fire and carbon monoxide detectors sound directly to the fire department. Fire extinguishers were fully charged and last inspected in February 2025. The last disaster drill was conducted and documented in December 2025. The facility has been conducting drills monthly.

LPA reviewed five (5) staff files and (5) client files. Three (3) of five (5) staff files did not contain current CPR/First Aid certification. Two (2) of (5) five staff did not have Criminal Record Transfers on file and were therefore not associated to the facility. A civil penalty was assess the attached LIC 421BG.

Deficiencies are being cited as a result of this inspection. California Code of Regulations, (Title 22), is cited on the attached LIC 9099-D. Exit Interview conducted. A copy of this report and Appeal Rights were provided to Jennifer Wilkes, Program Manager, via email.
NAME OF LICENSING PROGRAM MANAGER: Lauren Crocker
NAME OF LICENSING PROGRAM ANALYST: Kayla Adkison
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 01/06/2026 03:58 PM - It Cannot Be Edited


Created By: Kayla Adkison On 01/06/2026 at 03:06 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MERAKEY - INSPIRATIONS
FACILITY NUMBER: 045920056

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82072(a)(8)(C)
Personal Rights
(a) Each client shall have personal rights which include, but are not limited to, the following: (8) Not to be placed in any restraining device. Postural supports may be used under the following conditions: (C) Postural supports shall be fastened or tied in a manner which permits quick release by the client.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that at least (1) one of (5) five clients were unable to release the belt on their wheelchair without assistance, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/27/2026
Plan of Correction
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Adminisrator agrees to create a written plan on how the facility and staff will care for clients requiring seatbelts for their wheelchairs. This plan will be submitted to LPA by end of business on 01/27/26.
Type B
Section Cited
CCR
82075(f)
Health-Related Services
(f) Staff responsible for providing direct care and supervision shall receive and maintain current training in first aid and cardiopulmonary resuscitation from persons qualified by agencies including, but not limited to, the American Red Cross.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review], the licensee did not comply with the section cited above in that three (3) of five (5) staff files did not contain current CPR/First Aid certification which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/27/2026
Plan of Correction
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Adminsitrator agrees to send updated CPR/First Aid training certification for three (3) staff to LPA by end of business on 01/27/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lauren Crocker
NAME OF LICENSING PROGRAM MANAGER:
Kayla Adkison
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/06/2026 03:58 PM - It Cannot Be Edited


Created By: Kayla Adkison On 01/06/2026 at 03:06 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MERAKEY - INSPIRATIONS
FACILITY NUMBER: 045920056

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82075(l)(5)
Health-Related Services
(l) The following requirements shall apply to medications which are centrally stored: (5) Each client's medication shall be stored in its originally received container.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that one (1) medication was observed on the floor of the med room during the inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/27/2026
Plan of Correction
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Adminsitrator shall submit a written plan to CCL documenting how the facility shall address the medication error by the end of business on 01/27/2026.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Lauren Crocker
NAME OF LICENSING PROGRAM MANAGER:
Kayla Adkison
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/06/2026 03:58 PM - It Cannot Be Edited


Created By: Kayla Adkison On 01/06/2026 at 03:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MERAKEY - INSPIRATIONS
FACILITY NUMBER: 045920056

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
82019(e)(3)
Prior to working, residing, or volunteering in a licnesed day program, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall do the following: (3) Request the licensee or applicant for a license to request a transfer of a criminal record clearance

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that two (2) of (5) five staff did not have a criminal record transfer which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/07/2026
Plan of Correction
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Administrator shall request a criminal record clearance transfer for two staff and submit to proof to LPA by end of business on 01/07/2026.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Lauren Crocker
NAME OF LICENSING PROGRAM MANAGER:
Kayla Adkison
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2026


LIC809 (FAS) - (06/04)
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