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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002731
Report Date: 04/23/2026
Date Signed: 04/23/2026 01:14:03 PM

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
01/14/2026 and conducted by Evaluator Marisa Chiarelli
COMPLAINT CONTROL NUMBER: 59-AS-20260114103557
FACILITY NAME:IPS- VINSON DRIVEFACILITY NUMBER:
455002731
ADMINISTRATOR:GOMEZ, AMANDAFACILITY TYPE:
735
ADDRESS:1786 VINSON DRIVETELEPHONE:
(530) 605-3755
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:4CENSUS: 4DATE:
04/23/2026
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Administrator Leana KenyonTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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suspected abuse resulted in broken arm
INVESTIGATION FINDINGS:
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On 04/23/2026, licensing program analyst Marisa Chiarelli arrived at the facility unannounced to deliver final complaint findings for a complaint received on 1/14/26. LPA Chiarelli met with administrator Leana Kenyon and explained the purpose of the visit.

On 12/24/25 around 0630 hours, S1 was assisting R1 to get them dressed. While standing R1 had a seizure. S1 tried to stop R1 from falling and grabbed their left arm. R1 still fell to the ground but S1 was able to stop R1 from hitting their head. R1 seizure lasted three minutes and when R1 came to they complained of left arm pain. S1 immediately notified the administrator. R1 was taken to urgent care.

Continued on 9099 - C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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 2
Control Number 59-AS-20260114103557
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: IPS- VINSON DRIVE
FACILITY NUMBER: 455002731
VISIT DATE: 04/23/2026
NARRATIVE
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During the investigation facility documents and staff interviews were consistent with S1 statement. Doctor at urgent care was also interviewed and they advised that R1 had no obvious signs of abuse and the injury sustained could have occurred from the fall.

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.

Exit interview conducted and copy of report left with the administrator.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2