455002787-4-3-2026-59-AS-LCRR-DUHVZR-20260528165311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002787
Report Date: 04/03/2026
Date Signed: 04/03/2026 10:23:55 AM

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
03/09/2026 and conducted by Evaluator Marisa Chiarelli

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20260309160812

FACILITY NAME:	SIERRA OAKS OF REDDING		FACILITY NUMBER:	455002787
ADMINISTRATOR:	LANG, MICHAEL		FACILITY TYPE:	740
ADDRESS:	1520 COLLYER DR.		TELEPHONE:	(530) 241-5100
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	113	CENSUS:	DATE:	04/03/2026
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Administrator Michael Lang		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Facility did not ensure that there is adequate staffing to meet the needs of the residents in care.

INVESTIGATION FINDINGS:

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On 04/03/2026, Licensing program analyst (LPA) Marisa Chiarelli, arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 03/09/2026. LPA Chiarelli met with administrator Michael Lang, and explained the purpose of the visit.
During the interview process, three staff persons were interviewed and the following documents were received and reviewed: staff schedules, LIC 500, staff rosters and incident reports.

Continued on 9099-C
(Page 1)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

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-20260309160812

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: SIERRA OAKS OF REDDING	FACILITY NUMBER: 455002787
	VISIT DATE: 04/03/2026

NARRATIVE

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Shifts for caregivers and Med techs are as follows:

AM – 6am – 230pm

PM – 2pm – 1030pm

NOC – 10pm – 630pm

During record review, it was revealed on the staff schedules provided by management at Sierra Oaks and staff that for house 2 at Sierra Oaks of Redding there were only these staff persons working, listed below:

March 1^st – for PM shift only one staff person, one staff person for NOC shift, and only one staff person for AM shift.

March 8^th – one staff person for AM shift, two staff person for PM shift, two person for NOC shift.

March 15^th – one staff person for PM shift, and one caregiver and med tech for NOC shift, no staff persons for AM shift were scheduled for that day. Later on, in the investigation LPA Chiarelli confirmed updated schedule that NOC shift stayed later than scheduled to help in the AM.

March 22^nd – one staff person for AM shift, one staff person for PM shift, and two staff persons for NOC shift.

During LPA Chiarelli’s investigation three staff persons were interviewed. It was revealed and was confirmed by all staff interviewed that staff were being put on the schedule twice to show they were working in multiple houses. Staff persons who were listed twice on the schedule only worked one house not two like the schedule stated. This evidence showed that there was in fact not as many people working in multiple houses as per stated by original schedule given to LPA Chiarelli by administrator Lang when they visited the facility on 3/18/2026. Updated schedule was given to LPA Chiarelli by staff persons.

Continued 9099-C

(page 2)

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 59-AS-20260309160812

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: SIERRA OAKS OF REDDING	FACILITY NUMBER: 455002787
	VISIT DATE: 04/03/2026

NARRATIVE

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During an interview with staff one S1 stated they have been left alone with residents and were expected to work double shifts even though that was not agreed upon when they started in their position. Staff person two and three (S2 and S3) said they have also been left alone with residents and were expected to work doubles due to staffing shortage.

S3 reported that they were assigned to one house and were moved to another house by management to help other staff but this meant leaving other staff alone with residents. S3 stated “When I am left alone, I cannot give residents showers because there is no one to help me do it. There are not enough staff to call for help to assist me in doing showers, so weekends showers are not done. We have two residents in house 2 that need two staff to do resident transfers and when I do not have staff to help me, I can only sit them up in bed I cannot transfer them or get them out of bed by myself. I also cannot give medications since I am not trained to give out medications.”

S1 also stated: “I am not able to shower them if I am alone because that would mean I would be leaving other residents alone. I cannot do that.”

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.

(Page 3)

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 59-AS-20260309160812

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: SIERRA OAKS OF REDDING	FACILITY NUMBER: 455002787
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/03/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/17/2026 Section Cited CCR 80065(b)	1 2 3 4 5 6 7	80065(b) Personnel Requirements The licensee shall employ staff as necessary to ensure provision of care and supervision to meet client needs.	1 2 3 4 5 6 7	Licensee shall submit written documentation showing staffing numbers of caregivers and med techs per shift. Licensee will hire more staff. Licensee will submit all documentation to LPA by POC dute date.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above. The licensee did not employ staff as necessary to ensure the resident care needs are taken care of. Which poses a potential Health, Safety or Personal Rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4