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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002932
Report Date: 02/24/2025
Date Signed: 02/24/2025 01:47:38 PM

Document Has Been Signed on 02/24/2025 01:47 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:HILLTOP SPRINGS SENIOR LIVINGFACILITY NUMBER:
455002932
ADMINISTRATOR/
DIRECTOR:		O'FARRELL, KEILAFACILITY TYPE:
740
ADDRESS:7 HILLTOP DRTELEPHONE:
(530) 395-1777
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 211CENSUS: 155DATE:
02/24/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Assistant Executive Director, Olivia BradyTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On February 24, 2025 at approximately 1:15 PM, Licensing Program Analysts (LPA), Farhaan Sarangi and Kayla Adkison arrived unannounced at Hilltop Springs Senior Living for the purpose of conducting a Case Managemen-Incident Inspection. LPAs met with the Assistant Executive Director, Olivia Brady and was granted access into the facility.

LPAs toured the facility and observed the facility to be clean with all exits free from obstruction. LPAs observed sufficient perishable and non-perishable foods located in the kitchen. All three floors of the facility were observed to be in Title 22 compliance.

On January 17, 2025, Community Care Licensing Division (CCLD) received an incident report indicating that a resident fell multiple times in the span of a couple of weeks. Memory Care Director reported that the Primary Care Physician was notified and the Care Plan was reviewed and updated accordingly. Resident is reportedly doing good at this time with no falls since January 2025.

On January 22, 2025, Community Care Licensing Division (CCLD) received an incident report indicating that a resident had an unwitnessed fall and was found on the bathroom floor of the residents room. Administrator reported that the Primary Care Physician was notified and the Care Plan was reviewed and updated accordingly. Facility has since moved the resident to the Memory Care Unit and the resident is doing good at this time with no new falls since being in the Memory Care Unit

On January 27, 2025, Community Care Licensing Division (CCLD) received an SOC 341 indicating that a resident was being verbally aggressive. The Caregiver on duty that day took the television privileges away from the resident. Administrator terminated the alleged Caregiver immediately and conducted staff training. LPA advised that if another incident of this same nature occurs again, a citation would be issued to the facility for Personal Rights. Administrator conducted staff training surrounding Personal Rights. (Report continued on LIC 809C)
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: HILLTOP SPRINGS SENIOR LIVING
FACILITY NUMBER: 455002932
VISIT DATE: 02/24/2025
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LPA advised that if another incident of this same nature occurs again, a citation would be issued to the facility for Personal Rights. Administrator conducted staff training surrounding Personal Rights.

On January 28, 2025, Community Care Licensing Division (CCLD) received an incident report indicating that a resident had 14 falls. Facility staff reported that she is a two person transfer. Primary Care Physician has been notified and the Care Plan has been updated. LPAs observed the room to ensure it is safe for the resident in care. LPAs observed the room to be in Title 22 Compliance.

On February 11, 2025, Community Care Licensing Division (CCLD) received an incident report indicating that a resident had an unwitnessed fall in which the resident sustained a leg fracture. Primary Care Physician was notified regarding the fall and fracture. Facility staff reported that the resident has since went to rehab and will transition back to the facility. Facility has not heard when the resident will be discharged back to the facility.

No deficiencies were cited during today's Case Management-Incident Inspection. Exit interview was conducted, and a copy of this report was signed and given to Assistant Executive Director.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC809 (FAS) - (06/04)
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