455002484-12-6-2022-25-AS-APEZ-CM6TGF-20221216134304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002484
Report Date: 12/06/2022
Date Signed: 12/06/2022 08:48:33 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 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
06/06/2022 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20220606130556

FACILITY NAME:	NEW VISION SERVICES, INC. 5		FACILITY NUMBER:	455002484
ADMINISTRATOR:	WATKINS, TROY		FACILITY TYPE:	735
ADDRESS:	7063 RIVER DRIVE		TELEPHONE:	(530) 229-0722
CITY:	REDDING	STATE: CA	ZIP CODE:	96001
CAPACITY:	5	CENSUS: 4	DATE:	12/06/2022
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	AMBER GREENE		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Facility administrator hit a resident.
Facility administrator brought alcohol into the facility.
Facility administrator verbally abused resident.
Staff tried to give a resident incorrrect medication.

INVESTIGATION FINDINGS:

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Donna Gurriere, Licensing Program Analyst was in contact and met with Amber Greene, Administrator. It was alleged that there was a Personal Rights violation.

LPA Gurriere completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID 19 infection to affirm no COVID-19 related symptoms. The administrator/staff person was contacted to complete a facility risk assessment. LPA Gurriere ensured that hand sanitizer was applied before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical mask. Additionally, LPA Gurriere was screened by a staff person upon entering the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

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 3

Control Number 25-AS-20220606130556

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: NEW VISION SERVICES, INC. 5	FACILITY NUMBER: 455002484
	VISIT DATE: 12/06/2022

NARRATIVE

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Facility administrator hit a resident.
During the investigative process, numerous staff persons and residents were interviewed. Documents were obtained and reviewed to include the Regional Center Consumer Information on all residents, Personnel Report, staffing contact list and resident photos.

During the interview process it was reported that a Personal Rights violation had occurred in that it was stated that the administrator had hit a resident (Resident 1). Former and current staff were interviewed and denied ever seeing the administrator physically assault the resident. Resident 1 was interviewed and due to the integrity of his statements being compromised by preemptive interviews conducted, credibility issues with other resident statements and a lack of further corroborating evidence, there was not a preponderance of evidence obtained to substantiate the allegation.

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

Facility Administrator brought alcohol into the facility
During the investigative process, numerous staff persons and residents were interviewed. Documents were obtained and reviewed to include the Regional Center Consumer Information on all residents, Personnel Report, staffing contact list and resident photos.

During the interview process staff and residents were interviewed. It was speculated and rumored that the administrator brought alcohol into the facility; however, overall nearly all stated that they did not see alcohol in the facility, or signs of the administrator being intoxicated.

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

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 25-AS-20220606130556

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: NEW VISION SERVICES, INC. 5	FACILITY NUMBER: 455002484
	VISIT DATE: 12/06/2022

NARRATIVE

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Administrator verbally abused a resident.
During the investigative process, numerous staff persons and residents were interviewed. Documents were obtained and reviewed to include the Regional Center Consumer Information on all residents, Personnel Report, staffing contact list and resident photos.

During the interview process, information was gathered; staff and residents were interviewed. Nearly all staff and residents reported that the administrator was not verbally abusive nor did the administrator make derogatory comments to the resident (Resident 1).

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

Staff tried to give a resident incorrect medication.

During the investigative process, numerous staff persons and residents were interviewed. Documents were obtained and reviewed to include the Regional Center Consumer Information on all residents, Personnel Report, staffing contact list and resident photos.

During the interview process, information was gathered; licensee and staff were interviewed. It was reported that due to the integrity of the resident’s (Resident 2) statements being compromised by preemptive interviews conducted, credibility issues with other resident statements and a lack of further corroborating evidence, there was not a preponderance of evidence obtained to substantiate the allegation.

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

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

LIC9099 (FAS) - (06/04)

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