525002806-1-12-2026-59-AS-LCRR-DQQTRD-20260127135720

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 525002806
Report Date: 01/12/2026
Date Signed: 01/12/2026 12:02:44 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
11/06/2025 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20251106090007

FACILITY NAME:	GILMORE PLACE		FACILITY NUMBER:	525002806
ADMINISTRATOR:	WILCOX, JULIE		FACILITY TYPE:	740
ADDRESS:	70 GILMORE ROAD		TELEPHONE:	(530) 727-9293
CITY:	RED BLUFF	STATE: CA	ZIP CODE:	96080
CAPACITY:	22	CENSUS:	DATE:	01/12/2026
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Julie Wilcox - administrator		TIME COMPLETED:	12:10 PM

ALLEGATION(S):

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Staff verbally intimidated resident. - UNSUBSTANTIATED
Staff withheld resident’s personal belongings as punishment. - UNSUBSTANTIATED

INVESTIGATION FINDINGS:

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01/12/202611:45 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to deliver the results of a complaint investigation. LPA met with administrator Julie Wilcox and explained the purpose of the visit.

During the course of the investigation LPA conducted interviews and reviewed documents.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

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 3

Control Number 59-AS-20251106090007

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: GILMORE PLACE	FACILITY NUMBER: 525002806
	VISIT DATE: 01/12/2026

NARRATIVE

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Staff verbally intimidated resident. – UNSUBSTANTIATED

It was reported that Staff 1 (S1) tried to force Resident 1 (R1) into taking a nebulizer treatment that R1 does not want to take. Also reports that S1 bosses R1 around and tries to “make deals” with R1 so R1 will take the treatment. R1 feels verbally “beat up.”

LPA reviewed MAR for October 2025 which includes a prescription for a nebulizer treatment three times per day. The MAR has multiple documented refusal dates by R1 for this medication. R1’s Physician’s Report notes that R1 tends to forget to take their medications and requires assistance with providing medication at the appropriate times.

R1 stated they do oxygen at night and don’t need a nebulizer. If R1 refused the treatment some staff would get mad at R1 and some would just say that was not ok. R1 stated staff treat them good at the facility.

Staff stated they told R1 that it’s important to take the medication that their doctor prescribed to them, and staff are concerned If R1 won’t take the treatment.

Administrator stated that R1 likes to refuse their nebulizer treatment often. Facility staff try to time the treatments and explain to R1 that they really need it and try to re-direct.

This allegation is unsubstantiated.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20251106090007

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: GILMORE PLACE	FACILITY NUMBER: 525002806
	VISIT DATE: 01/12/2026

NARRATIVE

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Staff withheld resident’s personal belongings as punishment. – UNSUBSTANTIATED

It was reported S1 withheld cigarettes from R1 because they would not take their nebulizer treatment.

R1 stated their doctor wants them to quit smoking. The facility cut R1’s cigarettes back to one per hour when R1 went on oxygen. R1 states they were getting as many as they needed but they tapered them off to one an hour.

Staff stated R1 gets one cigarette per hour and R1 forgets that they receive their hourly cigarette. Staff denies withholding cigarettes from R1.

Administrator stated staff have not been withholding cigarettes from R1 and the facility has started asking residents to initial every time staff give them a cigarette.

This allegation is unsubstantiated.

This agency has investigated the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted and a copy of the report was provided to administrator Julie Wilcox.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

LIC9099 (FAS) - (06/04)

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