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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701353
Report Date: 07/11/2025
Date Signed: 07/11/2025 01:45:58 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
05/22/2025 and conducted by Evaluator Noel Wolf Petersen
COMPLAINT CONTROL NUMBER: 27-AS-20250522111451
FACILITY NAME:TURNING POINT COMMUNITY PROGRAMS- SAGE VILLAGE IIFACILITY NUMBER:
392701353
ADMINISTRATOR:STEVENS, STACIFACILITY TYPE:
772
ADDRESS:7236 S RECOVERY ROADTELEPHONE:
(916) 364-8395
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY:16CENSUS: 5DATE:
07/11/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Donna ColbertTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff Do not Store Cleaning Chemicals are locked and inaccessible to residents in care
Staff are not Properly addressing pest infestation in the facility
Staff did not provide reasonable privacy to residents in care
INVESTIGATION FINDINGS:
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On 7/11/25 at 12:30pm Licensing Program Analyst (LPA) Noel Wolf Petersen arrivied unannounced to conduct a complaint investigation regard the above allegations, they were met by program adminstrator Donna Colbert and explained the purpose of the visit.

The LPA observed the cleaning chemicals left unattended in the bathroom at a previous visit, the LPA observed bugs coming out of the drain in the shower at a previous visit, the LPA observed a woman in a paper gown walk from some other changing area into an assessment room at a previous visit. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is(are) found to be SUBSTANTIATED. California Code of Regulations citations were issued on the attached LIC 9099D.

Exit Interview was conducted and a copy of the report was read and given to the administrator. Appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR 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.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 27-AS-20250522111451
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 II
FACILITY NUMBER: 392701353
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2025
Section Cited
HSC
81087(l)
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81087 BUILDINGS AND GROUNDS (l) The licensee shall ensure that items which could pose a danger if readily available to clients, including but not limited to disinfectants, cleaning solutions, and poisons are stored where inaccessible to clients.
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No POC required, element was addressed by increased staff training conducted since the incident.
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was not met as evidenced by:

observation by the LPA and Regional manager of chemicals outside of the supervision of the staff and locked storage, in an accessible manner to the clients
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Type B
07/25/2025
Section Cited
HSC
81087
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81087 BUILDINGS AND GROUNDS (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.(1) The licensee shall take measures to keep the facility free of flies and other insects.
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No POC required, the element was adressed adequately by the inclusion of meshes
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was not met as evidenced by:

observation by the LPA and Regional manager of insect pests in the showers
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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.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR 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
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 27-AS-20250522111451
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 II
FACILITY NUMBER: 392701353
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2025
Section Cited
HSC
81972(a)(1)
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81072 PERSONAL RIGHTS (a) Each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons
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No POC necessary, the facililty is going to wash chlothing and give them their orginal clhothes, befored medical evaluation.
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was not met as evidenced by:
observation by the male LPA, male regional manager being present in the hallway as a female client passed from the bathroom to the medical evaluation area in a state of undress, without attempt from the staff to address potential modesty of the client
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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.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR 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
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
05/22/2025 and conducted by Evaluator Noel Wolf Petersen
COMPLAINT CONTROL NUMBER: 27-AS-20250522111451

FACILITY NAME:TURNING POINT COMMUNITY PROGRAMS- SAGE VILLAGE IIFACILITY NUMBER:
392701353
ADMINISTRATOR:STEVENS, STACIFACILITY TYPE:
772
ADDRESS:7236 S RECOVERY ROADTELEPHONE:
(916) 364-8395
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY:16CENSUS: 5DATE:
07/11/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Donna ColbertTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are mismanaging resident medication
INVESTIGATION FINDINGS:
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On 7/11/25 at 12:50 Licensing Program Analyst (LPA) Noel Wolf Petersen arrivied unannounced to conduct a complaint investigation regard the above allegations, they were met by Donna Colbert and explained the purpose of the visit.

The LPA observed the medication service, the staff appeared confident in the process of documenting refusal and disposal. During staff interviews, all staff expressed some level of discomfort with certain aspects of the medication service, although generally in training.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit Interview was conducted and a copy of the report was read and given to the administrator.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR 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.
LIC9099 (FAS) - (06/04)
Page: 4 of 4