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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455001602
Report Date: 03/11/2025
Date Signed: 03/11/2025 11:57:56 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
01/17/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250117095819
FACILITY NAME:RIVERVIEW DRIVE RESIDENCEFACILITY NUMBER:
455001602
ADMINISTRATOR:STEELE, TRISHAFACILITY TYPE:
735
ADDRESS:3963 RIVERVIEW DRIVETELEPHONE:
(530) 244-1516
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:6CENSUS: 4DATE:
03/11/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Maria Hernandez DSP 2TIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff are not providing adequate food service to residents.
INVESTIGATION FINDINGS:
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On 03/11/25 Sarah Benson, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 1/17/25. LPA Benson met with Maria Hernandez DSP2 and explained the purpose of the visit.

Staff are not providing adequate food service to residents.

During the interview process the administrator staff persons and Day Program staff were interviewed by LPA Benson: records were reviewed. Records reviewed include staff list with telephone numbers and work schedule, client admission agreement, medical records, care notes and IPP report.

Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
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 2
Control Number 59-AS-20250117095819
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: RIVERVIEW DRIVE RESIDENCE
FACILITY NUMBER: 455001602
VISIT DATE: 03/11/2025
NARRATIVE
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Staff are not providing adequate food service to residents.

Document review revealed, the facility has a menu posted with healthy food choice. LPA Benson observed the facility has a dry erase board with written request from the residents for food specific items and meal request.

During LPA Benson’s inspection of the facility an abundant variety of food was present with fruits, vegetable, milk, cheese, lunch meat, variety of snacks with a refrigerator, cupboards, and freezer, full of food. During LPA Bensons inspection no relish was observed.

During LPA Benson’s visit to the Day Program staff were interviewed. Staff witness one W1 reported the residents’ lunch today is apple sauce, chips, and a frozen burrito. Staff at the Day Program stated I have not noticed a poor selection of food for the residents. Staff stated, I have never observed the resident bring a relish sandwich and carrots. Staff witness two W2 stated once staff forgot to put the main menu item in the lunch box. W2 stated the facility staff were called and they immediately brought the main menu item. W2 stated if we see a resident with insufficient food we take a picture, notify the facility staff and if it was not resolved, we would send and incident report to Licensing. Staff reported they have never had to report this facility for lack of food for the clients.

During staff interviews it was reported the clients get home from Day Program and make their lunch for the next day with the help of staff. Staff stated, the residents get to pick what they want to make for their lunch. When the staff were questioned about a relish sandwich the staff reported, no one at our facility likes relish, we don’t have any.

Based on the interviews conducted the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted. A copy of the report was provided to administrator.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2