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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045920283
Report Date: 12/03/2025
Date Signed: 12/03/2025 11:48:53 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
08/25/2025 and conducted by Evaluator Ivan Avila
COMPLAINT CONTROL NUMBER: 59-AS-20250825102554
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:
12/03/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jessica SmithTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not ensure resident received medical care in a timely manner
Staff do not ensure adequate care and supervision is provided
Licensee does not ensure staff remain awake during night shift
Staff allowed residents to be left in soiled clothing for extended periods of time
Staff do not ensure residents rooms are kept in clean sanitary conditions
INVESTIGATION FINDINGS:
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On December 3, 2025, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegations directed by the Department. LPA Avila met with Jesica Smith and explained the purpose of the visit.

During the investigation process, interviews and records review were initiated.

LPA investigated the allegation, “Staff did not ensure resident received medical care in a timely manner.” Based on interviews and record review, staff address resident medical care appropriately and timely. There is no indication of delayed medical care. LPA could not corroborate the allegation.

-----Continued on LIC9099-C-----
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025
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 2
Control Number 59-AS-20250825102554
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: 12/03/2025
NARRATIVE
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LPA investigated the allegation, “Staff do not ensure adequate care and supervision is provided.” Based on interviews and record review, staff indicated all resident needs are being met. It does not appear to be any indication of inadequate care and supervision. Staff appear to be responsive to resident care.

LPA investigated the allegation, “Licensee does not ensure staff remain awake during night shift.” Interviews were conducted and LPA did not obtain any information as to whether staff were sleeping during night shifts. Interviews indicated that staff are unaware of staff sleeping during shifts. LPA could not corroborate the allegation.

LPA investigated the allegation, “Staff allowed residents to be left in soiled clothing for extended periods of time.” Based on interviews conducted staff indicated that residents are checked frequently for soiled clothing and cleaned immediately if soiled clothing is observed. All staff interviewed reported that they check residents for soiled clothing every two hours and/or when a resident requests assistance.

LPA investigated the allegation, “Staff do not ensure residents rooms are kept in clean sanitary conditions.” Based on interviews conducted staff indicated that resident rooms are kept clean and sanitary. Staff stated caregivers and housekeeping clean resident rooms daily.

Based on interviews conducted and record review, the preponderance of evidence standards has not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, and a copy of the report was provided.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025
LIC9099 (FAS) - (06/04)
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