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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 581302894
Report Date: 05/01/2024
Date Signed: 05/01/2024 12:00:29 PM

Unfounded


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
02/23/2024 and conducted by Evaluator Todd Tryon
COMPLAINT CONTROL NUMBER: 59-AS-20240223081746
FACILITY NAME:FEATHER RIVER MANORFACILITY NUMBER:
581302894
ADMINISTRATOR:TERRY, NORAFACILITY TYPE:
740
ADDRESS:3962 WEST ELLA AVE.TELEPHONE:
(530) 743-5022
CITY:OLIVEHURSTSTATE: CAZIP CODE:
95961
CAPACITY:32CENSUS: 31DATE:
05/01/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:B. Scott TerryTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not ensuring the facility is mold free
Staff did not ensure the roof was fixed timely
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/1/2024 LPA Tryon arrived at the facility to complete the complaint. LPA met with Licensee/ Administrator B. Scott Terry. LPA has spoken with staff and inspected the facility.
Regarding the allegation that the staff are not ensuring the facility is mold free, LPA inspected the house and found no mold anywhere in the building. There had been some mold around a bathroom window, but it has been cleaned up and resident encouraged to open the window while the shower is going to vent the steam. So, there was some mold, but it was cleaned up right away when licensee became aware. Allegation is UNFOUNDED.
Regarding the allegation that staff did not fix the roof in timely: LPA interviewed licensee/administrator and inspected building inside. It was learned that there never WAS a roof leak; the leak that happened in one bathroom was caused by a broken shower pipe in the wall. When it was learned that there was a leak, the licensee immediately fixed the leak, repaired walls, etc. Clothes and items were cleaned. LPA finds no current evidence of a leak. So, although there was a leak, as soon as licensee became aware he fixed and cleaned everything. Allegation is unfounded. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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