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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 126803615
Report Date: 12/29/2022
Date Signed: 12/29/2022 02:13:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/21/2022 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20221221130521
FACILITY NAME:PATHWAYSFACILITY NUMBER:
126803615
ADMINISTRATOR:RANKIN, LEAHFACILITY TYPE:
772
ADDRESS:2370 BUHNE STREETTELEPHONE:
(707) 442-5721
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:16CENSUS: 12DATE:
12/29/2022
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Leah RankinTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is in disrepair.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 1:15PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Administrator Leah Rankin and toured the facility. On 12/20/2022, Humboldt County sufferred a 6.4 magnatude earthquake. This facility did not receive any physician damage. Power was out for most of the County after the earthquake. This facility has a generator to supply power. The power is located at red emergency plugs in the hallways and extention cords are required to bring that power to office areas. The cords were brightly colored and were laying flat to minimize the trip hazards. Main power was restored approximately 12 hours after the earthquake and the cords were removed.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022
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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