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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045920283
Report Date: 10/15/2025
Date Signed: 10/15/2025 12:33:46 PM

Substantiated


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
07/07/2025 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250707162403
FACILITY NAME:LIGHTHOUSE AT CHICO, LLC, THEFACILITY NUMBER:
045920283
ADMINISTRATOR:ROBBINS, ROBINFACILITY TYPE:
740
ADDRESS:855 BRUCE ROADTELEPHONE:
(530) 566-1800
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:120CENSUS: 48DATE:
10/15/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jessica Smith, AdministratorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Personal RIghts - Staff did not ensure that all information and records regarding residents was kept confidential
INVESTIGATION FINDINGS:
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On October 15, 2025, at approximately 10:00 am, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose of delivering complaint findings. LPA was greeted by Executive Director, Jessica Smith, and explained the purpose of the visit. During the visit, there were 48 residents and 7 staff providing care.

Allegation: Staff did not ensure that all information and records regarding residents was kept confidential.

It was alleged that personal information about a resident was not kept confidential. During an office meeting, a now former staff member was speaking loudly about a resident’s personal life and voicing serious, unfounded, allegations against a resident’s family member.

Continued on the attached LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
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 59-AS-20250707162403
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: LIGHTHOUSE AT CHICO, LLC, THE
FACILITY NUMBER: 045920283
VISIT DATE: 10/15/2025
NARRATIVE
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LPA interviewed (2) two current staff members who were reportedly present during the conversation. (2) two of (2) two current staff admitted that the former staff member was loudly discussing a resident’s personal business with no regard for their privacy. Staff further noted the former staff member was speaking about their own personal opinions of the individual. The former staff was using the individual’s last name. Current staff stated that they both informed the former staff member that they were violating the residents’ personal rights by speaking in such a way. Both current staff stated that the former staff member was speaking very loudly, and the conversation could have easily been heard by anyone outside the office door.

Based on observations and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. 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 Executive Director, Jessica Smith, via email.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20250707162403
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: LIGHTHOUSE AT CHICO, LLC, THE
FACILITY NUMBER: 045920283
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/17/2025
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons.
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The Licensee/Administrator reports the staff mentioned in this complaint is no longer working for the facility. Executive Director agrees to review the regulation cited and shall submit a letter to Community Care Licensing indicating their understanding of the regulation by end of business on October 17, 2025.
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This requirement was not met as evidence by: Based on observation and interviews, the licensee did not ensure that a resident's personal information was kept confidential.
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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: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
LIC9099 (FAS) - (06/04)
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