<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045920283
Report Date: 07/31/2026
Date Signed: 07/31/2026 04:17:50 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
10/06/2025 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20251006100715
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: 45DATE:
07/31/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Regional Director of Operations, Eric HostetterTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff not meeting resident hygiene needs
Facility staff using resident hygiene products on other residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 31, 2026, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose of delivering complaint findings. LPA was greeted by Eric Hostetter, Regional Director of Operations, and explained the purpose of the visit. During the visit, there were 45 residents in the community and six (6) care staff.

During the course of the investigation, LPA conducted interviews, reviewed documentation, and made observations.

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: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
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 7
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
10/06/2025 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20251006100715

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: DATE:
07/31/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Eric Hostetter, Regional Director of OperationsTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility not communicating with responsible parties about transportation issues
Facility charging for services not being rendered
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 31, 2026, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose of delivering complaint findings. LPA was greeted by Eric Hostetter, Regional Director of Operations and explained the purpose of the visit. During the visit, there were 45 residents in the community and six (6) care staff.

During the course of the investigation, LPA conducted interviews, reviewed documentation, and made observations.

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

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 59-AS-20251006100715
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: 07/31/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA interviewed ED who stated that during R1’s time at the facility, there were several meetings held with R1’s RP regarding the services being provided to R1. ED stated that the RP would repeatedly request to have the resident reassessed to “lower the points” on their care plan, thus making the monthly bill cheaper. ED stated “This made it so the resident was deemed pretty much independent for everything. (R1) would have to ask for help in most cases, if (R1) needed it.” Additionally, S5 noted that although housekeeping is scheduled to service resident rooms once a week, housekeeping does not clean up feces or urine and that is the responsibility of facility caregivers. With the resident being deemed mostly independent, with the exception of medication management and stand-by assistance for bathing and transfers, it would be reasonable to assume that the resident would need to ask for staff assistance for additional housekeeping needs.

LPA reviewed R1s care notes for the entirety of the resident’s stay at the facility. On July 30, 2025, there was note made by ED stating “(RP) came into my office expressing some frustration with (R1s) level of care, (RP) says (RP) is still being billed for the wrong level of care and that (R1s) care has been extremely lacking. ED let (RP) know that I (ED) would follow up with BOM (business office manager) and Wellness Team.” LPA reviewed three separate assessments conducted by the facility on R1 during their five-month residency at the facility.

Although the allegation may have happened, the preponderance of evidence has not been met, and the allegation is therefore UNSUBSTANTIATED. Exit interview conducted. A copy of this report was provided to Executive Director, Ilona Corpus.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7
Control Number 59-AS-20251006100715
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: 07/31/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Facility not communicating with responsible parties about transportation issues

It was alleged that the bus/van that was used for resident transportation to doctor’s appointments was unavailable for a period of time and this was not properly communicated to residents or their responsible parties. Due to this, R1 reportedly missed medical appointments.

LPA interviewed ED, who disagreed with the allegation. ED stated, “We (facility staff) transported (R1) to everything” and "There may have been an instance when concierge did not receive 48-hour notice to have (R1’s) appointment added to the calendar."

LPA interviewed three (3) additional staff members who all stated they were unaware if families were notified about transportation changes. S5 stated the facility bus was out of commission for a period time for repairs and to be re-wrapped when the facility underwent a change of ownership. S5 stated that although they could not be certain if residents and families were informed of the change, S5 claimed the facility’s communication to families had historically been subpar.

Although the allegation may have happened, the preponderance of evidence has not been met, and the allegation is therefore UNSUBSTANTIATED.

Facility charging for services not being rendered

It was alleged that the facility was charging R1 and their responsible party (RP) for services that were not being provided. It was alleged R1 was being charged for the medication management of 14 medications, while only actually taking “five or six.” Additionally, R1 was being charged for housekeeping services that were believed to not be provided regularly as it was reported that the family was cleaning feces in R1’s bathroom. Specifically, the allegations allege that the resident was being charged for level 5
LPA reviewed the residents’ initial Care Plan and reassessments. R1s most recent care plan before their move out indicated the resident was receiving Level 4 care. Additionally, there were 13 medications listed on the residents’ Care Plan, which included four (4) PRN (as needed) medications. LPA reviewed Medication Administration Records (MARs) which confirmed the resident was being provided with the additional nine (9) medications daily. Regarding housekeeping, the resident’s most recent care plan indicated that housekeeping was scheduled to perform cleaning duties once a week.

Continued on the attached LIC 9099-C
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 59-AS-20251006100715
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: 07/31/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2026
Section Cited
HSC
1569.2(c
1
2
3
4
5
6
7
Health and Safety Code section 1569.2(c) provides: (c) "Care and supervision" means the facility assumes responsibility for, or provides… ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with ... personal care. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee agrees to conduct a staff training concerning the requirement to assist residents with showers and following each residents care plan. Licensee shall submit the staff sign in sheet with dates and staff signatures as proof of correction by end of business on August 14th, 2026.
8
9
10
11
12
13
14
Based on interviews and document review it was determined that staff did not ensure that Resident 1 was provided assistance in showering as indicated in their care plan. This poses a potential health, safety or personal rights risk to residents in care.
8
9
10
11
12
13
14
Type B
08/14/2026
Section Cited
CCR
87468.1(a)(12)
1
2
3
4
5
6
7
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: (12) To wear their own clothes; to keep and use their own personal possessions, including their toilet articles...
1
2
3
4
5
6
7
Licensee agrees to conduct a staff training concerning the requirement to ensure resident’s personal belongings are not used on other residents. Licensee shall submit the staff sign in sheet with dates and staff signatures as proof of correction by end of business on August 14th, 2026.
8
9
10
11
12
13
14
Based on interviews conducted, it was determined that R1s personal rights were violated, in that staff were using R1s personal toilet articles on other residents, which poses a potential health, safety, or personal rights risk to residents in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 59-AS-20251006100715
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: 07/31/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Staff not meeting resident hygiene needs

It was alleged that staff were not providing Resident #1 (R1) with regular showers as scheduled and documented in their Care Plan. It was further alleged that it took staff approximately three weeks to provide R1 with a shower.

LPA interviewed Executive Director (ED), Jessica Smith, who reported that during the time R1 was a resident at the facility, showers were not regularly recorded on specific “shower log” types of documentation throughout the facility. ED stated that the previous “log” system did not have a way of determining who had received or refused showers, only that all scheduled showers for the shift had been completed. ED noted that since promoting to the role of ED, she has implemented a new shower log system that will keep better track of when residents are receiving showers.

LPA reviewed 17 “End of Shift Reports”, provided by the facility, dated between June 8, 2025, and September 2, 2025, in which R1 was mentioned. Of these 17 reports, showers were noted for R1 on only 12. No shower was recorded between June 8 and June 28, or between July 5 and July 24, indicating an approximately three-week span between documented showers.

LPA interviewed five (5) additional staff members. Staff #4 (S4) noted that after R1 had fallen and received a head wound requiring stitches, R1 would regularly refuse showers due to not feeling well and not wanting to get their stitches wet. S4 was not sure how long this occurred, but it was more than one time. S4 further stated that approximately one week before R1 moved out of the facility, S4 noted staff were not providing showers as needed to several residents, including R1. S4 claimed the concern was brought up to management and nothing was done about their concerns. Additionally, staff #1 (S1) noted that they remember R1 mentioning almost weekly that their shower had been missed. R1 stated that they would bring the concern up to the staff responsible or, if available, would help R1 themselves. S1 further stated that they would return from their scheduled days off, and R1 would complain of not receiving a shower or R1 would state that they showered themselves alone as they were “tired of waiting.” Staff #5 (S5) noted that although they were unaware specifically if R1 had not received their scheduled showers, that it was a regular occurrence that staff were not completing their duties or not documenting when things were completed for the oncoming staff member to be aware of.

Continued on additional LIC 9099-C
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 59-AS-20251006100715
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: 07/31/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 LPA reviewed R1’s care plans created at their move-in and subsequent reassessments. Each care plan indicated the resident was scheduled for showers at least three times a week with assistance. LPA further reviewed all care notes documented for R1 during their entire residency at the facility, of which there were no notations of R1 receiving or refusing any showers.

Based on interviews conducted, documents reviewed and observations of the facility, 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.

Facility staff using resident hygiene products on other residents

It was alleged that during the time R1 resided at the facility, staff were using R1’s personal supply of wipes and/or briefs on other residents.

LPA interviewed ED and five (5) additional staff regarding the allegation. ED stated that they were made aware of the allegation from R1’s family. ED questioned all staff regarding the allegation, to which, all denied using R1’s personal supply. ED reported R1’s family was provided with replacement wipes and furnished receipts as proof of purchase.

LPA interviewed five (5) staff. Three staff corroborated this allegation and also stated that because of this concern, R1’s personal supply was then kept locked in storage where only few managerial staff had access.

Based on interviews conducted, documents reviewed and observations of the facility, 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, Ilona Corpus.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7