315920040-8-27-2025-59-AS-LMUZ-DL5VDL-20250902162053

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315920040
Report Date: 08/27/2025
Date Signed: 08/27/2025 02:36:22 PM

Unfounded

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
08/07/2025 and conducted by Evaluator Cassandra Mikkelson

COMPLAINT CONTROL NUMBER: 59-AS-20250807102552

FACILITY NAME:	SIERRA RIDGE SENIOR LIVING		FACILITY NUMBER:	315920040
ADMINISTRATOR:	ALEXIS THACKER		FACILITY TYPE:	740
ADDRESS:	3265 BLUE OAKS DRIVE		TELEPHONE:	(530) 718-1553
CITY:	AUBURN	STATE: CA	ZIP CODE:	95602
CAPACITY:	65	CENSUS: 47	DATE:	08/27/2025
		UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Tony Sellers, Administrator		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Resident sustained multiple injuries while in care due to staff neglect
Staff does not provide drinking cups for residents
Staff not maintaining residents hygiene

INVESTIGATION FINDINGS:

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Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Administrator Tony Sellers to deliver findings for the above complaint allegation.

During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

*** Report continued on 9099-C***

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025

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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Control Number 59-AS-20250807102552

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: SIERRA RIDGE SENIOR LIVING	FACILITY NUMBER: 315920040
	VISIT DATE: 08/27/2025

NARRATIVE

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Resident sustained multiple injuries while in care due to staff neglect.

Interviews conducted indicated that Resident R1 was not considered a fall risk. Records reviewed indicated that R1 fell out of bed during the night and sustained injuries. Staff immediately assessed R1 and took appropriate action for R1 due to injuries sustained. Therefore, the allegation resident sustained multiple injuries while in care due to staff neglect is unfounded.

Staff does not provide drinking cups for residents.

Interviews with Residents indicated that there are drink cups provided for resident use at all times. Observations during visits indicated that there are water stations located in different hallways with cups provided and ready for use for residents. Therefore the allegation staff does not provide drinking cups for residents is unfounded.

Staff not maintaining residents hygiene.

Interviews with staff indicate that they assist with helping residents maintain their hygiene and continue to encourage proper hygiene practices each day. Observations indicated that staff are actively involved in the resident’s care and assisting with hygiene needs. Records reviewed indicated that residents are receiving showers and hygiene assistance in a timely manner or as scheduled. Therefore the allegation staff not maintaining residents hygiene is unfounded.

Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025

LIC9099 (FAS) - (06/04)

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