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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 525002362
Report Date: 02/22/2022
Date Signed: 02/22/2022 02:43:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/10/2021 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 25-AS-20211110143029
FACILITY NAME:SAIL HOUSE, INC., THEFACILITY NUMBER:
525002362
ADMINISTRATOR:CAREY, CHRISFACILITY TYPE:
735
ADDRESS:21125 LUTHER ROADTELEPHONE:
(530) 527-5780
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:23CENSUS: 23DATE:
02/22/2022
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Micah Carey - administratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Resident was sexually assaulted by another resident
INVESTIGATION FINDINGS:
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02/22/2022 12:00 PM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with Micah Carey administrator for the facility. The purpose of this visit was to deliver the results of the complaint investigation of the above allegation. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 Mask, gloves.

Allegation: Resident was sexually assaulted by another resident - UNSUBSTANTIATED.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rayna L Bryson
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
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 25-AS-20211110143029
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: SAIL HOUSE, INC., THE
FACILITY NUMBER: 525002362
VISIT DATE: 02/22/2022
NARRATIVE
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During the course of the investigation LPA interviewed 1 administrator, 2 staff, 2 clients, and 1 case worker. LPA obtained the following documents to investigate the above allegations. Client list, Staff list, related incident report, Physicians Reports for 2 clients, treatment plans for 2 clients.

During interviews of administrator and case worker it was revealed that C1 is prone to attention seeking behaviors. C1’s goal for making this accusation was for their roommate to be moved out of their shared room so C1 could have their own room.

During client interviews both C1 and C2 denied the allegation. C1 stated they wanted their roommate kicked out so C1 could have their own room.

Staff interviews revealed that staff did not witness an assault or have any additional information pertaining to the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated.

An exit interview was conducted. A copy of the report was emailed to facility administrator Micah Carey. No deficiencies were cited on today’s date.

SUPERVISORS NAME: Rayna L Bryson
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2