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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002688
Report Date: 04/17/2025
Date Signed: 04/17/2025 09:06:49 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
01/07/2025 and conducted by Evaluator Ivan Avila
COMPLAINT CONTROL NUMBER: 59-AS-20250107082714
FACILITY NAME:STARTHMORE HOME INCFACILITY NUMBER:
455002688
ADMINISTRATOR:OSTERMAN, VIANCAFACILITY TYPE:
735
ADDRESS:4288 STARTHMORE DRTELEPHONE:
(530) 262-5002
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:6CENSUS: 4DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Angel DossTIME COMPLETED:
09:15 AM
ALLEGATION(S):
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Neglect and abandonment by staff led to resident being hospitalized
Facility has insufficient staffing
Staff delayed emergency medical care when a change in resident's condition was observed
INVESTIGATION FINDINGS:
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On April 17, 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 Angel Doss and explained the purpose of the visit.

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

LPA investigated the allegation, “Neglect and abandonment by staff let to resident being hospitalized.” Based on interviews and record review, staff indicated all client needs are being met. It does not appear to be any indication of neglect leading to a client’s hospitalization. Staff appeared to have been appropriately responsive. LPA could not corroborate the allegation.

----- Continued on LIC9099-C -----
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
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-20250107082714
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: STARTHMORE HOME INC
FACILITY NUMBER: 455002688
VISIT DATE: 04/17/2025
NARRATIVE
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LPA investigated the allegation, “Facility has insufficient staffing.” Based on interviews and observations, evidence was not found to support that there were insufficient staff to meet the needs of resident identified care needs. Interviews indicated there are usually two (2) staff working on each shift and clients have stated there is enough staff working at the facility.

LPA investigated the allegation, “Staff delayed emergency medical care when a change in resident’s condition was observed.” Based on interviews and record review, staff addressed client’s change in condition appropriately and were responsive. There is no indication of delayed medical care. LPA could not corroborate the allegation.

Based on interviews conducted and observations, the preponderance of evidence standards have 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: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2