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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525002806
Report Date: 07/14/2026
Date Signed: 07/14/2026 11:31:53 AM

Document Has Been Signed on 07/14/2026 11:31 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:GILMORE PLACEFACILITY NUMBER:
525002806
ADMINISTRATOR/
DIRECTOR:		WILCOX, JULIEFACILITY TYPE:
740
ADDRESS:70 GILMORE ROADTELEPHONE:
(530) 727-9293
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY: 22CENSUS: 19DATE:
07/14/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Julie Wilcox - administratorTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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07/14/2026 09:30 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Julia Hensel site supervisor and explained the purpose of the visit. Administrator Julie Wilcox and was unavailable for the visit and was notified that LPA would be conducting the inspection.

LPA Knight and staff toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to twelve (12) client rooms, common areas, three and one half (3.5) bathrooms, kitchen, storage areas, backyard and office.

Staff and resident files were reviewed. All employees requiring background checks are cleared. Administrator certificate is current. Medication is locked in a cabinet. Cleaning supplies are locked in a cabinet.

Common area, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational, are hard wired to the local fire department and serviced by SaFirei Integrated Protection. There are no pools/bodies of water are on premises. The facility has been conducting fire drills monthly.
Continued on LIC809-C
NAME OF LICENSING PROGRAM MANAGER: Lauren Crocker
NAME OF LICENSING PROGRAM ANALYST: Rebecca Knight
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 07/14/2026 11:31 AM - It Cannot Be Edited


Created By: Rebecca Knight On 07/14/2026 at 10:54 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GILMORE PLACE
FACILITY NUMBER: 525002806

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87303(a)
Maintenance and Operation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA observed discarded swamp cooler, wood and various debris on the east side of the exterior of the facility. These items need to be removed from the facility premises.

LPA took temperature readings in common areas and multiple resident room. Temperature ranged between 82 and 85 degrees Fahrenheit at 10:00 AM. The temperature in Red Bluff is forecasted to reach 102 degrees Fahrenheit this day and for the next few days. The facility is currently using swamp coolers that are not sufficiently cooling the building. The facility has central air conditioning units but have not been using them, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/28/2026
Plan of Correction
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Licensee agrees to remove the discarded swamp cooler and debris from the East side of the building premises by 07/28/2026. Licensee agrees to send photographs of cleared area to LPA as proof of correction.

Licensee agrees to uitilize the existing central air conditioning in the building or otherwise cool the temperature of common areas and resident rooms. This is due immediately. Licensee shall submit written understanding of this requirement to LPA. Licensee agrees to take room temperaturse in the common areas and resiedent rooms for 1 month in the morning and evening and send this log to LPA. LPA will conduct follow up visits to ensure the building is reaching Title 22 temperature requirements.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Lauren Crocker
NAME OF LICENSING PROGRAM MANAGER:
Rebecca Knight
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2026


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 07/14/2026
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The following deficiencies were observed during the inspection:

LPA observed discarded swamp cooler, wood and various debris on the east side of the exterior of the facility. Licensee agrees to remove the discarded swamp cooler and debris from the East side of the building premises by 07/28/2026. Licensee agrees to send photographs of cleared area to LPA as proof of correction.

LPA took temperature readings in common areas and multiple resident rooms. Temperature ranged between 82 and 85 degrees Fahrenheit at 10:00 AM. The temperature in Red Bluff is forecasted to reach 102 degrees Fahrenheit this day and for the next few days. The facility is currently using swamp coolers that are not sufficiently cooling the building. The facility has central air conditioning units but have not been using them. Licensee agrees to utilize the existing central air conditioning in the building or otherwise cool the temperature of common areas and resident rooms. This requirement is due immediately.

Deficiencies are being cited under California Code of Regulations, (Title 22) as a result of today’s inspection and are documented on the attached LIC809-D. Exit interview conducted, appeal rights and a copy of report was provided.

NAME OF LICENSING PROGRAM MANAGER: Lauren Crocker
NAME OF LICENSING PROGRAM ANALYST: Rebecca Knight
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC809 (FAS) - (06/04)
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