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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317005092
Report Date: 09/23/2026
Date Signed: 09/23/2026 10:27:54 AM

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
09/18/2026 and conducted by Evaluator Cassandra Mikkelson
COMPLAINT CONTROL NUMBER: 59-AS-20260918133450
FACILITY NAME:AUBURN CREEKSIDE VILLAFACILITY NUMBER:
317005092
ADMINISTRATOR:LANCASTER, THERESE M.FACILITY TYPE:
740
ADDRESS:695 DAIRY ROADTELEPHONE:
(530) 823-5273
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:15CENSUS: 15DATE:
09/23/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:EmilyTIME COMPLETED:
10:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure unimpeded egress for emergency vehicles
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with staff to open the investigation into the allegation above. LPA spoke with Licensee Therese Lancaster via phone and explained the purpose of the visit.

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: 10
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
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 2
Control Number 59-AS-20260918133450
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: AUBURN CREEKSIDE VILLA
FACILITY NUMBER: 317005092
VISIT DATE: 09/23/2026
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
Staff do not ensure unimpeded egress for emergency vehicles

Interviews conducted indicated that there is no issues with any of the emergency exits of the building. Staff ensure that all exits are open and ready for emergency use and vehicles. Observations indicated that all emergency exit doors are unblocked allowing for immediate emergency exits from the building in case of an emergency. The main entrance/exit door to the facility is accessible allowing for emergency responders and vehicles to enter and exit efficiently. The facility does not have an delayed egress doors on premises. Facility is in compliance with local fire department regulations regarding fire safety. Facility also has an up to date emergency disaster plan which is readily available in case of an emergency.

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: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2