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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002633
Report Date: 09/15/2025
Date Signed: 09/15/2025 09:58:40 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
07/16/2025 and conducted by Evaluator Ivan Avila
COMPLAINT CONTROL NUMBER: 59-AS-20250716135350
FACILITY NAME:A TOUCH OF HEAVENFACILITY NUMBER:
455002633
ADMINISTRATOR:LONG, JUSTINEFACILITY TYPE:
740
ADDRESS:760 KERRYJEN CTTELEPHONE:
(530) 226-5052
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:28CENSUS: 18DATE:
09/15/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Justine LongTIME COMPLETED:
10:10 AM
ALLEGATION(S):
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Catheter care not being properly provided
Resident belongings stolen
Resident not being showered regularly
INVESTIGATION FINDINGS:
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On September 15, 2025, Licensing Program Analyst (LPA), Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegations directed by the Department. LPA Avila met with Administrator Justine Long and explained the purpose of the visit.

During the investigation process, interviews and a review of records were initiated.

LPA investigated the allegation, “Catheter care not being properly provided.” Based on interviews, staff indicated R1’s catheter gets cleaned by staff when there’s a leak. R1 has a home health agency that goes into the facility twice a week to help with R1’s catheter care. R1 stated catheter care is being properly provided.

----- Continued on LIC9099C ------
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
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-20250716135350
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: A TOUCH OF HEAVEN
FACILITY NUMBER: 455002633
VISIT DATE: 09/15/2025
NARRATIVE
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LPA investigated the allegation, “Resident belongings stolen.” Based on interviews and record review, staff indicated R1 had a wristwatch upon admission to the facility. R1 alerted staff the wristwatch was missing. Interviews stated facility staff looked for R1’s missing wristwatch and it was later found in R1’s room.

LPA investigated the allegation, “Resident not being showered regularly.” Based on interviews, staff indicated that the residents receive sufficient care with bathing, grooming, and hygiene. LPA observed records documented showing R1 receiving showers and being combative with staff. R1 has declined showers but has been offered showers at later times. R1 stated they have changed their shower schedule to day shifts and has been offered showers multiple times a week.

Based on interviews conducted and observations, the preponderance of evidence standards has not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, and a copy of the report was provided.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2