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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455920054
Report Date: 09/04/2025
Date Signed: 09/24/2025 02:50:45 PM

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
06/24/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250624151023
FACILITY NAME:MERAKEY - OLD ALTURASFACILITY NUMBER:
455920054
ADMINISTRATOR:BATES, DAMEYAFACILITY TYPE:
735
ADDRESS:20785 OLD ALTURAS ROADTELEPHONE:
(530) 222-5633
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:5CENSUS: 4DATE:
09/04/2025
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Administrator Jessica Boarman.TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Personal rights.
INVESTIGATION FINDINGS:
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On 9-04-25 Sarah Benson, Licensing Program Analyst (LPA), arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 06-24-25. LPA Benson met with Administrator Jessica Boarman and explained the purpose of the visit.
During the interview process staff and residents were interviewed. Documents were received and reviewed to include the client list, staff list with telephone numbers, Resident and Staff Files, Client Admission Agreements, Individual Program Plans (IPPs), Medical records and Police reports.
The department has conducted extensive interviews and a thorough investigation. Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, the resident was assaulted by staff, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. An exit interview was conducted. A copy of the report was provided to Administrator Jessica Boarman. LPA Benson advised that a Non Compliance Conference will be scheduled. The licensee was informed that an immediate civil penalty of $500 shall be assessed for violation of California Health and Safety Code §1569.49.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
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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Control Number 59-AS-20250624151023
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: MERAKEY - OLD ALTURAS
FACILITY NUMBER: 455920054
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/18/2025
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

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A staff training for observing residents complaints/signs of distress.
Licesnee will submit an action plan of how the Administrator will respond to complaints and or observations from staff and residents.
The administrator has required the resident will always be a two person assist.
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This requirement was not met as evidenced by: Based on interviews and records reviewed, the licensee/administrator did not ensure client was treated with dignity in his/her personal relationship with staff. This poses an immediate Health and Safety risk to residents in care.
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 This is considered a serious violation, and the licensee shall be served a $500.00 civil penalty on this date.
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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: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
LIC9099 (FAS) - (06/04)
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