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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 550307827
Report Date: 04/08/2025
Date Signed: 04/08/2025 12:02:27 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
08/28/2024 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20240828152946
FACILITY NAME:SIERRA FOOTHILLS RESIDENTIAL CARE, INC.FACILITY NUMBER:
550307827
ADMINISTRATOR:DIANA MORECIFACILITY TYPE:
735
ADDRESS:20470 BAY MEADOWS DRIVETELEPHONE:
(209) 533-3708
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY:14CENSUS: 14DATE:
04/08/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Katherine Belfield, AdministratorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff is financially abusing residents in care.
INVESTIGATION FINDINGS:
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On 04/08/25, Licensing Program Analyst (LPA) Renee Campbell arrived to Sierra Foothills Residential Care INC unannounced to present findings regarding the above allegation. LPA Campbell met with Katherine Belfield, Administrator and explained the purpose of today’s visit.
Regarding the allegation that staff is financially abusing residents in care, the Department found the following: the allegation was investigated by The Department of Social Services Investigative Branch (IB) Audit Division. Based on documents and information obtained from the licensee, the licensee had an agreement with the now terminated administrator to pay back funds that were stolen. IB determined that the licensee has an adequate plan in place to ensure there is sufficient income and resources to cover the facility operating expenses. The allegation that staff is financially abusing residents in care is SUBSTANTIATED.
Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, the following deficiency is being cited on the attached 809-D during this visit.
An exit interview was conducted, and copies of the report and appeal rights left.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
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 3
Control Number 27-AS-20240828152946
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SIERRA FOOTHILLS RESIDENTIAL CARE, INC.
FACILITY NUMBER: 550307827
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/25/2025
Section Cited
CCR
80064(a)(4)
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80064(a)(4) The administrator shall have the following qualifications: Ability to maintain or supervise the maintenance of financial and other records.
This requirement was not met as evidenced by:
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The licensee instituted levels of checks & balances that included, administrator reviews of bank debits, weekly analysis of transactions by an accountant & a montly analysis of bank activity by the board. This updated policy regarding financial conduct will be provided by POC due date.
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Based on observation and record review, the licensee did not ensure the administrator was able to maintain or supervise the maintenance of financial records which poses an immediate Health, Safety or Personal Rights risk to person’s in car.
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The former employee responsible for the allegation has agreed to make payments to return the funds to the facility.
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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: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
08/28/2024 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20240828152946

FACILITY NAME:SIERRA FOOTHILLS RESIDENTIAL CARE, INC.FACILITY NUMBER:
550307827
ADMINISTRATOR:DIANA MORECIFACILITY TYPE:
735
ADDRESS:20470 BAY MEADOWS DRIVETELEPHONE:
(209) 533-3708
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY:14CENSUS: 14DATE:
04/08/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Katherine Belfield, AdministratorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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9
Facility does not maintain adequate financial reserves
INVESTIGATION FINDINGS:
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13

On 04/08/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to Sierra Foothills Residential Care INC unannounced to conduct a complaint investigation regarding the above allegations. LPA Campbell met with Katherin Belfield, Administrator and explained the purpose of today’s visit.
Regarding the allegation that Facility does not maintain adequate financial reserves, the Department found the following: the allegation was investigated by The Department of Social Services Investigative Branch (IB). Based on observation and document reviews, IB determined that the allegation that Facility does not maintain adequate financial reserves is UNSUBSTANTIATED.

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore this allegation is UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, no deficiencies cited. Exit interview was held and a copy of report was given to Katherine Belfield, Administrator.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3