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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002107
Report Date: 11/13/2025
Date Signed: 11/13/2025 11:21:45 AM

Substantiated


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
07/08/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250708133317
FACILITY NAME:SKILLS DEVELOPMENT CENTERFACILITY NUMBER:
455002107
ADMINISTRATOR:CRAVENS, JENNIFERFACILITY TYPE:
775
ADDRESS:160 MASONIC AVENUETELEPHONE:
(530) 245-1734
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:75CENSUS: 71DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Administrator Jennifer CravensTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Facility is not meeting toileting needs of a client while attending program.
INVESTIGATION FINDINGS:
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On 11-13-25, Sarah Benson, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 07/08/25. LPA Benson met with Administrator Jennifer Cravens and explained the purpose of the visit.

During the interview process, three staff persons and one resident were interviewed. The following documents were received and reviewed: staff list with telephone numbers, client admission agreement, medical records, MAR, physician report, COM records, IPP and ISP.

Continued on LIC9099C and LIC9099D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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 59-AS-20250708133317
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: SKILLS DEVELOPMENT CENTER
FACILITY NUMBER: 455002107
VISIT DATE: 11/13/2025
NARRATIVE
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Facility is not meeting toileting needs of a client while attending program.

During the interview with client R1, R1 reported staff told me to go in my brief. R1 stated the staff said to me, come on you know better, not to buckle my legs. R1 reported I had back surgery, when I buckle my legs it’s because my legs go numb. R1 stated, I prefer to go on the toilet.
During the interview process staff stated sometimes we have been putting her on the bed to relieve herself because she has been dropping. Staff stated that when we lift her off the toilet, she will pull her legs up. Staff reported R1 said she is uncomfortable going to the bathroom afraid she will fall. Staff stated we use a sling to get her onto the bed to change her and at the toilet we use a two-person assist.
During document review the client’s ISP states the client requires full assistance in this area. During document review staff reported the client goes on the bed in her brief and not on the toilet right now, because she keeps dropping. Document review revealed that the client is prone to UTI’s and using the toilet is preferred.
R1s Individual Program Plan states it is important that she is as independent as possible with her personal care.


Based on investigation observations, record review(s) and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal rights were explained and provided to the facility representative listed above and exit interview conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 59-AS-20250708133317
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: SKILLS DEVELOPMENT CENTER
FACILITY NUMBER: 455002107
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2025
Section Cited
CCR
82077.4
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Care for Clients with Incontinence (b) If a licensee accepts or retains a client who has bowel and/or bladder incontinence, the licensee is responsible for all of the following: (2) Ensuring that a client who can benefit from scheduled toileting is assisted or reminded to go to the bathroom at regular intervals rather than
being diapered.

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Administrator will have a training for staff for toileting and communication.
Administrator will continue to work with staff communication with clients and their need.
Administrator will notify LPA when training is complete.
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This requirement is not met as evidenced by: Based on observation, interviews and record review, the licensee did not ensure the client was assisted to use the toilet. This poses a potential Health, Safety or Personal Rights risk to persons in care.
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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: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
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
07/08/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250708133317

FACILITY NAME:SKILLS DEVELOPMENT CENTERFACILITY NUMBER:
455002107
ADMINISTRATOR:CRAVENS, JENNIFERFACILITY TYPE:
775
ADDRESS:160 MASONIC AVENUETELEPHONE:
(530) 245-1734
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:75CENSUS: 71DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Administrator Jennifer CravensTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Facility is not offering a client something to drink while attending program.
INVESTIGATION FINDINGS:
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During the interview process, The client stated my water is in my backpack and I just ask when I want a drink. However, R1 stated sometimes I get thirsty, and I don’t want to bother people to ask for a drink. During the interview with R1 LPA observed R1s thermos in her backpack. LPA observed no water available to R1. LPA was informed R1 had just finished lunch and had a drink at that time. Staff stated In the morning the clients get milk, coffee, tea or hot chocolate with breakfast. During interviews staff one (S1) stated R1 drinks milk at lunch, I offer her drinks during the day and she has her water bottle in her chair with her during the day. Staff stated the nonverbal clients are offered water about every hour. Staff three stated R1 is self-sufficient with getting something to drink, in the morning she will ask me to get it from her backpack, and she has it with her all day. Record review revealed the client’s liquid intake was recorded 16oz 6-23, 6-24, 6-25, 6-27, 6-30 and 32 ounces on 7-14 and 7-15, 42 oz. of fluid 7-16.
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.
Exit interview conducted and copy of the report was provided to the Administrator.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4