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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347004151
Report Date: 01/20/2026
Date Signed: 01/20/2026 04:18:31 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
10/17/2025 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20251017094929
FACILITY NAME:SEGOVIA'S CARE HOME #3FACILITY NUMBER:
347004151
ADMINISTRATOR:SEGOVIA, NIMFA C.FACILITY TYPE:
735
ADDRESS:6412 SYLVAN ROADTELEPHONE:
(916) 722-3789
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 6DATE:
01/20/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Chelsea Naruse, AdministratorTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff allowed residents in care to leave the facility without staff supervision.
Staff sleep while on shift.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver investigative findings to a complaint received on October 17, 2025 and met with staff, Jecca Keifert and Cheryl Dwyer. LPA observed (2) clients were present at the start of the inspection and (4) clients returned from day program during the inspection. Licensee, Nimfa Segovia, arrived at 3:10 pm, and the administrator, Chelsea Naruse, arrived around 3:30 pm.

During the investigation, LPA interviewed the LIcensee, Administrator, (2) staff and (3) clients. LPA also contacted the Regional Center and reviewed documentation related to the alleagtions, including but not limited to. Shared Information Reports, client Physician's Reports, staffing schedules and documentation provided by the regional center including the Facility Inspection Log and Residential Medication Review. The results of the investigation are as follows:

*cont on 9099C-1..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2026
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 8
Control Number 59-AS-20251017094929
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: SEGOVIA'S CARE HOME #3
FACILITY NUMBER: 347004151
VISIT DATE: 01/20/2026
NARRATIVE
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9099C-1.. Allegation: Staff allowed residents in care to leave the facility without staff supervision. The allegation states there were two incidents where (2) clients were lost and later found by the staff. About 9 months ago, client (C1) was relocated an hour later at the Dollar Tree (7313 Greenback Ln) shopping center. About 6 months ago, client (C2) was located at the Kentucky Fried Chicken restaurant about a mile away. Both residents had to cross a busy road (Sylvan Road).

LPA reviewed the information report submitted to regional center for an incident occurring on January 11, 2025, where client (C1), who was visiting from a related facility, stated they wanted to go to another location (this facility location) to participate in gardening activities. The report notes staff drove (C1), there at 9:45 am and checked on (C1) every 5-10 minutes, but at 10:30 am, could not locate (C1). The report documents that staff searched extensively for (C1), called and texted their mom and the administrator located them at 10:50 am, 20 minutes later, near a business (7801 Greenback Lane) on Greenback Lane.

Interviews with the Administrator and Licensee indicated that (C1) would not go to the Dollar Tree by themselves, which was determined to be 5 blocks further from the business where (C1) was located at.

(S1) stated they are "not sure" if they were at the facility on January 11, 2025, when (C1) became very upset and verbally stated they wanted to leave but explained (C1’s) mom found (C1) from their tracking device/cell phone- through a "community safe" program and that (C1) was found crossing the street.

LPA reviewed the information report submitted to the regional center on May 25, 2025, involving client (C2) who left the facility that day around 10:00 am. The report notes staff “noticed (C2) was no longer sitting in the facility and staff immediately informed all other staff on duty and searched the immediate grounds and inside the facility.” The report indicates that several staff left the facility to look for (C2) who was found a few blocks away, unharmed.

Staff (S1) confirmed they were on duty when (C2), left, and confirmed (C2) eloped only once. (S1) explained that client (C2), walks pretty fast and was asked to wait but (C2) didn't. (S1) stated that (C2) was "found by the corner" by the house manager and did not go to the Dollar Tree, which was the other direction. (S1) indicated that (C2) shouldn't leave the facility without assistance, as a best practice. Staff (S2) confirmed they were "off duty" when (C2) eloped from the facility.

*cont on 9099C-2..

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 59-AS-20251017094929
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: SEGOVIA'S CARE HOME #3
FACILITY NUMBER: 347004151
VISIT DATE: 01/20/2026
NARRATIVE
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 9099C-2.. The licensee stated she is not aware of any resident crossing the street by him/herself and explained that both clients are "covered with Project Lifesaver" through the Citrus Heights Police Department and have bracelets they wear. The licensee commented that the regional center didn't have an issue with (C2’s) AWOL- due to the updated HCBS regulations and the LIC602 (9/11/24 and 7/9/25) says client can leave by themselves.

(C1) indicated they "don’t remember" leaving the related facility without supervision in January 2025, and (C2) was not able to articulate information when interviewed. The administrator stated the process is for the administrator to call all staff to locate a resident. Both incidents were reported to the Regional Center (Shared Information Report). The licensee stated the incident with (C1) was reported to CCLD in Jan 2025 but confirmed there was not an incident report for (C2) in 2025 that was completed. NOTE: There is a citation issued on a separate report, dated 1/20/2026. LPA confirmed that the current and prior Physician’s Reports note that both (C1) and (C2) can leave the facility unassisted. The Licensee agreed to discuss the situation with (C2's) physician and have it reviewed whether (C2) can leave unassisted or not.

Based on documentation reviewed and interviews conducted, this allegation is determined to be UNSUBSTANTIATED- A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid- there is not a preponderance of the evidence to prove that the alleged violation occurred.

Allegation: Staff sleep while on shift. The allegation states that on October 10th, 2025 (S1) witnessed one employee sleeping while on duty.

The Licensee stated on October 21, 2025 that "one staff was on official break and was not sleeping on duty". (S1) stated. "if we are on breaks, we have 30 minutes and some staff can take a nap- they nap in the common area" and indicated they never saw someone/staff sleeping on shift on October 10, 2025. (C1) indicated they have "not noticed" a staff sleeping when they are supposed to be helping clients.

Based on documentation reviewed and interviews conducted, this allegation is determined to be UNSUBSTANTIATED- A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid- there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview. Copy of report provided.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 8