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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455001431
Report Date: 12/03/2024
Date Signed: 12/03/2024 09:10:08 AM

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
09/04/2024 and conducted by Evaluator Donna Gurriere
COMPLAINT CONTROL NUMBER: 59-AS-20240904152758
FACILITY NAME:RHODES RESIDENTIAL SERVICE #2FACILITY NUMBER:
455001431
ADMINISTRATOR:RHODES, ANGELAFACILITY TYPE:
735
ADDRESS:6926 HEMLOCKTELEPHONE:
(530) 921-6263
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:4CENSUS: 1DATE:
12/03/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:CHRIS WYMORETIME COMPLETED:
09:20 AM
ALLEGATION(S):
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Facility not seeking medical treatment for resident.
Facility refusing to allow resident visitors.
INVESTIGATION FINDINGS:
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On 12/03/24 Donna Gurriere, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 09/04/24. LPA Gurriere met with Chris Wymore, Staff and explained the purpose of the visit.

Facility not seeking medical treatment for resident.

During the interview process, the administrator, three staff persons, the regional center coordinator, the resident (Resident 1), and family members were interviewed. In addition, documents were obtained to include the Physician’s Report, Individual Program Plan (IPP), a signed letter stating that the resident does not want to see certain family members, an Over-the-Counter Medications list and the resident’s physician’s assessment for his annual visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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-20240904152758
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: RHODES RESIDENTIAL SERVICE #2
FACILITY NUMBER: 455001431
VISIT DATE: 12/03/2024
NARRATIVE
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During the investigation, it was reported by the administrator and staff, that the resident came to the facility with a fatty tumor or a cyst on his cheek. The physician’s assessment document indicates that the resident has a sebaceous (non cancerous) cyst on his cheek and a nodule on his neck which also appears to be a sebaceous cyst. The resident has been referred to the dermatologist.

It was reported and stated that the resident needed new glasses, as he broke his. Recently, the resident received new glasses. It was reported that the resident does not have permanent teeth for chewing, the resident reported that they have been preparing his gums for him to obtain dentures.

Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated.


Facility refusing to allow resident visitors.

During the interview process, the administrator, three staff persons, the regional center coordinator, the resident (Resident 1), and family members were interviewed. In addition, documents were obtained to include the Physician’s Report, Individual Program Plan (IPP), a signed letter stating that the resident does not want to see certain family members, an Over-the-Counter Medications list and the resident’s physician’s assessment for his annual visit.

During the investigation, it was reported that family members came to the facility to see the resident and the resident agreed to see and be with the family members. On another occasion the family members came to see the resident and the resident refused to see the family members. It was reported that the staff contacted the police and the police arrived and asked the family members to leave based on the resident’s request. Since the incident with the police, the resident has signed a document stating he does not want to see his family members. In addition, the resident verbally advised staff, the regional center coordinator and LPA Gurriere that he does not want to see the family members.

Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2