525002699-3-4-2025-59-AS-LCRR-DEMQBZ-20250310120221

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 525002699
Report Date: 03/04/2025
Date Signed: 03/04/2025 11:13:42 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
01/02/2025 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20250102113806

FACILITY NAME:	INSPIRED RESIDENTIAL WALKER RANCH		FACILITY NUMBER:	525002699
ADMINISTRATOR:	BROWNING, CHANTELLE		FACILITY TYPE:	735
ADDRESS:	12810 WALKER WAY		TELEPHONE:	(530) 727-9177
CITY:	RED BLUFF	STATE: CA	ZIP CODE:	96080
CAPACITY:	6	CENSUS: 6	DATE:	03/04/2025
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Chantelle Browning - administrator		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Resident hygiene needs not being met. - SUBSTANTIATED

INVESTIGATION FINDINGS:

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03/03/2025 10:30 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with administrator Chantelle Browning. The purpose of this visit was to deliver the results of a complaint investigation.

During the course of the investigation LPA conducted interviews and reviewed the following documents: Admission agreement, IPP, LIC600 Physicians Report, Appraisal/Needs and Services Plan, medical appointment information for 1 client.

Continued on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Rebecca Knight	TELEPHONE: (530) 356-2841
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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-20250102113806

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: INSPIRED RESIDENTIAL WALKER RANCH	FACILITY NUMBER: 525002699
	VISIT DATE: 03/04/2025

NARRATIVE

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Resident hygiene needs not being met. - SUBSTANTIATED

It was reported that Client 1 (C1) was taken to the emergency room on 01/01/2025. Per the hospital emergency room C1's fingernails were unkempt, outgrown, starting to grow into palms, bilateral hands, per MD nails approximately 1 inch in length.

On 01/07/2025 10:34 AM LPA visited the facility and attempted to interview C1, C1 did not want to be interviewed. LPA observed C1’s left hand was in a closed fist. LPA observed the thumbnail on that hand to be appropriately trimmed. LPA observed C1 eating a bowl of cereal using their right hand, C1’s left hand remained in a fist.

LPA reviewed C1’s Physician’s Report which states that C1 is unable to care for all personal needs. LPA reviewed C1’s Appraisal/Needs and Services Plan which states “When possible, staff will provide stand by assistance for resident to complete all toileting and hygiene tasks.” It should be noted that this form was not filled out until LPA requested the document on 01/07/2025. LPA reviewed an appointment information sheet which states that on 01/07/2025 C1 went for a walk-in appointment at Hill Country Medical Clinic. The reason for the visit was “Closed fist, does not seem to want to open hand.” Physician stated C1’s hand had been like that since C1 had surgery at the beginning of last year.

Administrator stated when staff shower C1, it takes two staff to wash in between C1’s fingers. When staff got C1’s hand open that day in the shower, staff saw that C1’s nails were digging into their hand so staff took C1 to the ER to get C1’s nails trimmed and to get the hand examined to make sure it was not infected. They are going to the primary care doctor to find out why C1 doesn’t open that hand. It took 4 doctors to cut C1’s nails at the ER. We thought C1's hand was just like that, no injury, but we decided that since C1 was putting up such a fight at the hospital; that we would take C1 in for x-rays. They didn’t do any x-rays at the hospital, they just kind of forced C1's hand open.

Continued on LIC9099-C

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Rebecca Knight	TELEPHONE: (530) 356-2841
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250102113806

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: INSPIRED RESIDENTIAL WALKER RANCH	FACILITY NUMBER: 525002699
	VISIT DATE: 03/04/2025

NARRATIVE

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Administrator stated staff don’t trim the nails on the closed hand often, and it had been “probably about 2 months” since C1 had the nails on the closed fist hand trimmed.

Administrator stated that C1 had fractured their wrist in 2024 while living at another facility and had surgery to repair the fracture. C1 had a brace cast on that hand when C1 moved into the facility in Spring 2024 and they removed the cast a week later. C1’s hand has remained closed in a fist since the surgery. Administrator stated that staff have been “doing the best they can” to ensure that C1’s fingernails are kept short and clean as far as safely possible.

It was determined that C1 had not had the nails on their left hand trimmed for approximately two months. Per an ER physician the nails on that hand were approximately 1 inch in length and starting to grow into C1’s palms. This allegation is substantiated.

Based on interviews, documents and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview was conducted and the report was provided to administrator Chantelle Browning.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Rebecca Knight	TELEPHONE: (530) 356-2841
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250102113806

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: INSPIRED RESIDENTIAL WALKER RANCH	FACILITY NUMBER: 525002699
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/18/2025 Section Cited CCR 85077(a)	1 2 3 4 5 6 7	85077(a) Personal Services (a) Licensees shall provide necessary personal assistance and care, as indicated in the needs and services plan, with activities of daily living including but not limited to dressing, eating, and bathing. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to formulate a plan to ensure that C1’s fingernails are kept trimmed and clean on both hands. Licensee shall submit the plan to LPA as proof of correction.
	8 9 10 11 12 13 14	Based on document review and interviews C1 had not had their fingernails on their left hand trimmed for approximately two months, the nails on that hand were approximately 1 inch in length and starting to grow into C1’s palms which poses a potential health and safety risk to clients in care.	8 9 10 11 12 13 14	Licensee shall submit the plan to LPA as proof of correction.
	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.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Rebecca Knight	TELEPHONE: (530) 356-2841
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC9099 (FAS) - (06/04)

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