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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 297004085
Report Date: 09/04/2025
Date Signed: 09/04/2025 11:45:13 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
08/06/2025 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20250806091301
FACILITY NAME:YOUNGER'S RESIDENTIAL CAREFACILITY NUMBER:
297004085
ADMINISTRATOR:ANNA RYANFACILITY TYPE:
735
ADDRESS:10820 CONIFER LANETELEPHONE:
(530) 273-7765
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95945
CAPACITY:6CENSUS: 5DATE:
09/04/2025
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Alec Younger, CaregiverTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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-Facility has bed bugs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with caregiver to deliver complaint investigation findings regarding the above stated allegation.

During today's visit, LPA made observations and obtained documentation pertinent to the investigation.

According to Unusual Incident/Injury Report LIC624, on August 3, 2025, resident (R1's) responsible party took them to urgent care due to itching. R1 requested that the facility staff check their bed for bed bugs. Facility staff indicated that they did not observe any evidence of bed bugs. R1 was diagnosed at the urgent care with pruritus and at the ER with rash. The recommendation was for R1 to follow-up with their primary care physician.

*********************************************Continued on LIC9099-C*************************************************
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
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-20250806091301
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: YOUNGER'S RESIDENTIAL CARE
FACILITY NUMBER: 297004085
VISIT DATE: 09/04/2025
NARRATIVE
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Facility provided LPA a copy of a Pest Control Service Notification Invoice indicating that they had a monthly pest control service conducted on August 5, 2025. The invoice indicated that the service was targeting ants, spiders, wasps, and other general pests. There were no signs of pest activity observed and the exterior at the time of service. The invoice also indicated that, while on-site, they conducted an interior inspection for possible bed bug activity. Pest control checked multiple mattresses, sheets, bed frames, and headboards. There were no signs of bed bug activity found and it is believed that bed bugs are not an issue at this time. Pest control indicated that they would return to install bed bug volcano traps to help monitor for any potential infestation.

On August 8, 2025, LPA Graham Gunby observed R1's bedroom. LPA Gunby did not observe any bed bugs and indicated that the facility is utilizing the bed bug volcano underneath the bed to ensure there are not any issues with bed bugs in the home.

On September 4, 2025, LPA Hood observed R1 and resident (R2's) bedroom and beds. LPA did not observe any evidence of bed bugs.

Based on observations, documentation obtained, and interviews conducted, 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. No deficiencies are being cited during this visit.

Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC9099 (FAS) - (06/04)
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