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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 185002760
Report Date: 01/28/2025
Date Signed: 01/28/2025 01:15:08 PM

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
01/27/2025 and conducted by Evaluator Farhaan Sarangi
COMPLAINT CONTROL NUMBER: 59-AS-20250127163529
FACILITY NAME:LASSEN LIFE SKILLS INC.FACILITY NUMBER:
185002760
ADMINISTRATOR:BROWN, CHRISTINAFACILITY TYPE:
775
ADDRESS:475-340 SAN FRANCISCO STTELEPHONE:
(530) 257-7799
CITY:SUSANVILLESTATE: CAZIP CODE:
96130
CAPACITY:45CENSUS: 38DATE:
01/28/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Program Director, Lisa Rainey
Program Director, Chris Brown		TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not keep clients personal information confidential.
Staff is stealing clients funds.
INVESTIGATION FINDINGS:
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On January 28, 2025 at approximately 11:15 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Lassen Life Skills Inc for the purpose of conducting a complaint investigation inspection. LPA met with Program Director, Lisa Rainey.

During the investigation, LPA interviewed ten (10) clients in care and five (5) staff members. LPA reviewed a sample of client files which included client money and ledgers. LPA conducted a tour of the facility and made observations.

Complaint alleges that Staff did not keep clients personal information confidential. Based on interviews and observations that were conducted, LPA could not prove or disprove the allegation. During a review of a sample of client files, LPA observed client files being appropriate and in compliance. Furthermore, LPA conducted interviews with ten (10) clients in care and five (5) staff members and received inconsistent statements as it relates to the allegation. LPA could not corroborate the allegation. (Report continued on LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
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-20250127163529
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: LASSEN LIFE SKILLS INC.
FACILITY NUMBER: 185002760
VISIT DATE: 01/28/2025
NARRATIVE
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Complaint alleges that Staff is stealing clients funds. Based on interviews and observations that were conducted, LPA could not prove or disprove the allegation. During a sample review of client money and ledgers, LPA observed client money matching up with the client ledgers. LPA conducted interviews with ten (10) clients in care and five (5) staff members and received inconsistent statements as it relates to the allegation. LPA could not corroborate the allegation.

A finding that the complaint allegations of Staff did not keep clients personal information confidential and Staff is stealing clients funds are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this report was signed and given to the Program Director.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2