455002932-10-13-2023-59-AS-LCRR-CYBLYM-20231208081035

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002932
Report Date: 08/24/2023
Date Signed: 10/13/2023 03:25:20 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
08/18/2023 and conducted by Evaluator Sarah Benson

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20230818115222

FACILITY NAME:	HILLTOP SPRINGS SENIOR LIVING		FACILITY NUMBER:	455002932
ADMINISTRATOR:	OLSON, DENISE		FACILITY TYPE:	740
ADDRESS:	7 HILLTOP DR		TELEPHONE:	(503) 391-9999
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	211	CENSUS:	DATE:	08/24/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Administrator Lisa Sapp		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Staff do not ensure cleaning solutions are stored inaccessible to residents

INVESTIGATION FINDINGS:

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Amended Report, on 10-13-23 Licensing Program Analyst LPA Sarah Benson met with Heather Newcom.
On 08/24/2023 Licensing Program Analyst (LPA) Sarah Benson, arrived at the facility unannounced to conduct a complaint investigation for the above allegations. LPA met with Administrator Lisa Sapp and explained the purpose of the visit.
LPA and Administrator inspected the facility and LPA interviewed Administrator Lisa Sapp during the visit.
During the inspection a five-gallon bucket of dry laundry soap was found in assisted living laundry room, assessable to residents in care.
Administrator states with low census and current high functioning residents in care, this poses no immediate risk to the health and safety of residents in care.
Based on investigation, observations and interviews, the preponderance of evidence standard has not been met, therefore the above allegation is found to be Unsubstantiated. Exit interview conducted and a copy of the report was provided to administrator Liss Sapp.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Sarah Benson	TELEPHONE: 530-895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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