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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002490
Report Date: 05/22/2026
Date Signed: 05/22/2026 03:11:32 PM

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
09/12/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250912130709
FACILITY NAME:NEW VISION SERVICES, INC. 6FACILITY NUMBER:
455002490
ADMINISTRATOR:TROY WATKINSFACILITY TYPE:
735
ADDRESS:6462 KIMBERLY DRIVETELEPHONE:
(916) 224-2206
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:4CENSUS: 4DATE:
05/22/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Manager Christopher DhillonTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility staff not supervising resident that led to injury.
INVESTIGATION FINDINGS:
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On May 22 2026, Sarah Benson, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 09-12-25. LPA Benson met with Manager Christopher Dhillon, Administrator Melissa Farley and explained the purpose of the visit.

During the interview process, four staff persons and one resident were interviewed. The following documents were received and reviewed: (1) one resident's Admission Agreement, (1) one resident's LIC 602, (1) one resident's medical records, discharge paperwork from the hospital and post acute care. (1) one residents Needs and Services Plan/IPP, Current staff roster with phone numbers, (1) one resident's facility care notes,
and (1) one resident's Home Health care notes.

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

DATE: 05/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026
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-20250912130709
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: NEW VISION SERVICES, INC. 6
FACILITY NUMBER: 455002490
VISIT DATE: 05/22/2026
NARRATIVE
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Facility staff not supervising resident that led to injury.

During staff interviews S2 stated the residents and I were in the kitchen when two of the residents had behaviors. S2 stated I observed R1 looking at the peanut butter, so I put it back up on the shelf out of R1s reach and out of site. S2 stated that R1 has a habit of trying to get to the peanut butter and has health issues when he eats peanut butter. S2 stated that R1 has behaviors when he can’t have peanut butter.

S2 stated I did not witness the fall, R2 was agitated so I had him go watch a show in his room. S2 stated R3 needed to change his clothes so I took him in his room to clean up and change his clothes. S2 stated I was helping a resident in the back bedroom when I heard a loud noise, and I heard R1 call out in pain. S2 stated when I arrived to the kitchen R1 was lying on the floor in the kitchen and there was a chair by the pantry door. S2 stated the door was open where I had placed the peanut butter. Staff stated I think R1 had climbed on the chair to get the peanut butter and fell.

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: 05/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 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
09/12/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250912130709

FACILITY NAME:NEW VISION SERVICES, INC. 6FACILITY NUMBER:
455002490
ADMINISTRATOR:TROY WATKINSFACILITY TYPE:
735
ADDRESS:6462 KIMBERLY DRIVETELEPHONE:
(916) 224-2206
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:4CENSUS: 4DATE:
05/22/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Manager Christopher DhillonTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility staff failed to seek medical attention for resident.
INVESTIGATION FINDINGS:
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On May 22 2026, Sarah Benson, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 09-12-25. LPA Benson met with Manager Christopher Dhillon, Administrator Melissa Farley and explained the purpose of the visit.

Facility staff failed to seek medical attention for resident.
During staff interviews, it was reported S1 called the house manager and administrator immediately after R1 was found on the floor complaining of pain. It was reported that the house manager and the administrator visited the hospital and the rehabilitation facility to assist the resident.
Record review revealed after the staff called the house manager, house manager arrived at 8:47a.m. to assess R1. Record review revealed the ambulance was call at 10:00a.m. and R1 was taken to the hospital.

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

DATE: 05/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026
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
Control Number 59-AS-20250912130709
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: NEW VISION SERVICES, INC. 6
FACILITY NUMBER: 455002490
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/22/2026
Section Cited
CCR
85065(b)
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85065(b) Personnel Requirements

(b) The licensee shall employ staff as necessary to ensure provision of care and supervision to meet client needs.

This requirement is not met as evidenced by:
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Administrator will increase staffing in the morning before clients go to day program.
Administrator will have all staff training for client supervision.
Administrator will notify LPA when complete.
Administrator will send a copy of staff training.
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Based on observation and interview, the licensee did not comply as staff did not ensure care and supervision to meet client needs.
Which poses/posed 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: 05/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4