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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392701348
Report Date: 07/11/2025
Date Signed: 07/11/2025 12:15:45 PM

Document Has Been Signed on 07/11/2025 12:15 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TURNING POINT COMMUNITY PROGRAMS - SAGE VILLAGE IFACILITY NUMBER:
392701348
ADMINISTRATOR/
DIRECTOR:		STEVENS, STACIFACILITY TYPE:
772
ADDRESS:7224 S RECOVERY ROADTELEPHONE:
(916) 364-8395
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY: 16CENSUS: 12DATE:
07/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Donna ColbertTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 7/11/25 at 9:30 am, Licensing Program Analyst(LPA) Noel Wolf Petersen arrived at the facility to conduct a case management associate with an incident, LPA met with Interim Program Director, Donna Colbert and explained the purpose of the visit.

The Physical plant was inspected including but not limited to the client bedrooms, bathrooms, the storage areas, common areas, hallways, exterior, and evacuation routes. The facility is clean and traffic areas are well lit and unobstructed.

The incident is regarding a substance that entered the facility, a client taking the substance and seemingly requiring narcan intervention, and then a fellow client administering the narcan rather than a staff. This is the facilities first incident of this kind, drug use at the facility resulting in narcan administration, the facility is going to make updates to the program design and admission agreement to better address the supervision concerns around entrance of matierals into the facility and stricter monitoring of the clients, as well as training of the staff on likely emergency medical intervention (how to administer narcan for emergency use). The updated policies and procedures will be part of the Plan of Correction associated with the citation.

Per Title 22, citations were issued as a part of visit. Appeal rights were provided.

A copy of the report was read and given to the administrator.
NAME OF LICENSING PROGRAM MANAGER: Liza King
NAME OF LICENSING PROGRAM ANALYST: Noel Wolf Petersen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 07/11/2025 12:15 PM - It Cannot Be Edited


Created By: Noel Wolf Petersen On 07/11/2025 at 11:01 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: TURNING POINT COMMUNITY PROGRAMS - SAGE VILLAGE I
FACILITY NUMBER: 392701348

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/12/2025
Section Cited
HSC
81078(a)

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81078 RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION (a) The licensee shall provide care and supervision as necessary to meet the client's needs

was not met as evidenced by:
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LPA will recive a copy of updated program design and admission agreements to include new policy: updates to be enacted will be sent on monday 3/12/, regarding suggestions made by the LPA and the Program Administration.
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interview and record review of described policies that failed to provide the advertised care and supervision of a sober environment regarding an incident where a client brought illict material onto the property and used it
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Type A
07/12/2025
Section Cited
HSC81075(k)(1)

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81075 HEALTH-RELATED SERVICES (k) The following requirements shall apply to medications which are centrally stored: (1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
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LPA will recive a copy of updated program design and admission agreements to include new policy: medications will be checked in on entrance to the facility and checked out on exit.
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was not met as evidenced by:

interview describing multiple medication(injectible narcan) stored in an accessible manner to the clients
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Liza King
NAME OF LICENSING PROGRAM MANAGER:
Noel Wolf Petersen
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2025


LIC809 (FAS) - (06/04)
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