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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002481
Report Date: 08/30/2022
Date Signed: 08/30/2022 02:13:55 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/05/2022 and conducted by Evaluator Misty Valencia
COMPLAINT CONTROL NUMBER: 25-AS-20220505123411
FACILITY NAME:NEW VISION SERVICES, INC. 2FACILITY NUMBER:
455002481
ADMINISTRATOR:LANDER-WILLIAMS, EVELYNFACILITY TYPE:
735
ADDRESS:2897 BALATON AVENUETELEPHONE:
(530) 229-9195
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:4CENSUS: 4DATE:
08/30/2022
UNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:Evelyn Lander-Williams, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Resident was inappropriately touched while in care.
Staff did not provide supervision as necessary to meet resident's needs
INVESTIGATION FINDINGS:
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On 08/30/2022, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced complaint investigation visit regarding the above allegations to deliver findings and met with Evelyn Lander-Williams, Administrator (Admin). Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by facility receptionist.

continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
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 6
Control Number 25-AS-20220505123411
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: NEW VISION SERVICES, INC. 2
FACILITY NUMBER: 455002481
VISIT DATE: 08/30/2022
NARRATIVE
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Resident was inappropriately touched while in care.
Staff did not provide supervision as necessary to meet resident's needs


The Department investigated the above allegations and during interviews conducted with Administrator (Admin), three of three (3/3) staff, four of four (4/4) residents, and records reviewed, it was determined that R1 was inappropriately touched while in care and staff did not provided supervision as necessary to meet the residents needs allegations to be substantiated.

Resident was inappropriately touched while in care.
Staff did not provide supervision as necessary to meet resident's needs

Interviews conducted with Administrator (Admin), three of three (3/3) staff, four of four (4/4) residents, and records reviewed determined that R1 was inappropriately touched while in care. During the Departments interviews it was concluded that R1 and R2 was not provided adequate supervision resulting inappropriate conduct. R2 admitted that, R2 touched R1 inappropriately while being transported in the facility van. R1 reached out to facility staff and reported the incident, causing R1 and R2 not able to be left alone anymore. R1 reported that R1 did not authorized said touching.

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the allegation is found to be substantiated. The following deficiency was cited per CA Code of Regulations Title 22- refer to the 9099-D.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 25-AS-20220505123411
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: NEW VISION SERVICES, INC. 2
FACILITY NUMBER: 455002481
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/31/2022
Section Cited
CCR
85065(B)
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85065 Personnel Requirements (b)The licensee shall employ staff as necessary to ensure provision of care and supervision to meet client needs. This requirement was not met as evidenced by: Based on interviews and record reviewed
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Licensee agrees to develop a plan for addressing the responsibility for providing care and supervision. The written plan should address staffing, training and personnel policies and shall be submitted to Licensing by 08/31/2022.
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the Licensee failed to provide care and supervision for two of four (2/4) residents in care (R1, R2) when R2 engaged in inappropriate sexual contact with R1, which poses an immediate health and safety risk to residents 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: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/05/2022 and conducted by Evaluator Misty Valencia
COMPLAINT CONTROL NUMBER: 25-AS-20220505123411

FACILITY NAME:NEW VISION SERVICES, INC. 2FACILITY NUMBER:
455002481
ADMINISTRATOR:LANDER-WILLIAMS, EVELYNFACILITY TYPE:
735
ADDRESS:2897 BALATON AVENUETELEPHONE:
(530) 229-9195
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:4CENSUS: 4DATE:
08/30/2022
UNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:Evenlyn Lander-Williams, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not respond to authorized representative's communications appropriately.
Staff did not assist resident with medication as needed.
Spills of blood and other potentially infectious materials were not promptly cleaned and disinfected by staff.
Facility is in disrepair.
Staff did not ensure that clean linen is in use by residents at all times.
Staff did not provide quality meals to meet the needs of residents.
INVESTIGATION FINDINGS:
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On 08/30/2022, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced complaint investigation visit regarding the above allegations to deliver findings and met with Evenlyn Lander-Williams, Administrator (Admin). Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by facility receptionist.

continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
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 6
Control Number 25-AS-20220505123411
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: NEW VISION SERVICES, INC. 2
FACILITY NUMBER: 455002481
VISIT DATE: 08/30/2022
NARRATIVE
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The Department investigated the above allegations and during interviews with Administrator (Admin), three of three (3/3) staff, four of four (4/4) residents, and reviewed records determined the above allegations are to be un-substantiated.
Staff did not respond to authorized representative's communications appropriately.
Interviews conducted with the Administrator (Admin), three of three (3/3) staff, and four of four (4/4) residents concluded that the responsible staff are in constant communication with all resident’s responsible parties. Responsible staff will contact residents responsible party within twenty-four (24) hours after their contact. Administrator reports that they contact all responsible parties as soon as they can. Facility gets busy sometimes and facility staff is not able to talk on the phone for any length of time, therefore there is a specific staff who will return phone calls as needed.

Staff did not assist resident with medication as needed.
Interviews conducted with the Administrator (Admin), three of three (3/3) staff, and four of four (4/4) residents concluded that there are no concerns with medications. LPA reviewed records that concluded there were no medication errors within the facility for any of the residents in care.

Spills of blood and other potentially infectious materials were not promptly cleaned and disinfected by staff.
Interviews conducted with the Administrator (Admin), three of three (3/3) staff, and four of four (4/4) residents concluded that they have never had any issues with spills of blood or infectious materials. If ever an incident like that would arise, staff interviewed reported that it would be cleaned up immediately. LPA toured the facility and did not observe any issues regarding allegation.

Facility is in disrepair.
Interviews conducted with the Administrator (Admin), three of three (3/3) staff, and four of four (4/4) residents concluded that the facility is clean and in sanitary condition with no dis-repairs. LPA toured facility and facility seemed to be clean, sanitary and in good condition and LPA did not witness any facility dis-repairs.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 25-AS-20220505123411
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: NEW VISION SERVICES, INC. 2
FACILITY NUMBER: 455002481
VISIT DATE: 08/30/2022
NARRATIVE
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Staff did not ensure that clean linen is in use by residents at all times.
Interviews conducted with the Administrator (Admin), three of three (3/3) staff, and four of four (4/4) residents concluded that all the resident’s linens are cleaned weekly, unless one of the residents needs it done earlier and staff will do it. Residents interviewed reported that they have never had any issues not getting their linen cleaned.


Staff did not provide quality meals to meet the needs of residents
Interviews conducted with the Administrator (Admin), three of three (3/3) staff, and four of four (4/4) residents concluded that there are no concerns regarding food in the facility. 3/3 staff reported that the Admin goes food shopping at least once a week. 4/4 residents reported that they get breakfast, lunch dinner, and snacks everyday with no concerns. Both staff and clients interviewed reported that there is always fresh fruit available, plenty of food in the refrigerator/freezer for them. LPA reviewed records that concluded the facility residents receive breakfast, lunch, dinner and two (2) snacks daily.


The preponderance of evidence standard has not been met. The allegations are Unsubstantiated.
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.

An exit interview was conducted, and report emailed to Administrator.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 6