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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045000603
Report Date: 10/28/2025
Date Signed: 10/28/2025 02:03:34 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
08/27/2025 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 59-AS-20250827102300
FACILITY NAME:MARBELLA OROVILLEFACILITY NUMBER:
045000603
ADMINISTRATOR:TIPPENS, JA LUISAFACILITY TYPE:
740
ADDRESS:400 EXECUTIVE PARKWAYTELEPHONE:
(530) 534-8160
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:88CENSUS: 48DATE:
10/28/2025
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:April Kale - executive directorTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Resident records are not readily available to facility staff. - UNSUBSTANTIATED
Staff mismanaged residents' medications. - UNSUBSTANTIATED
Facility is malodorous. – UNSUBSTANTIATED
INVESTIGATION FINDINGS:
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10/28/2025 01:15 PM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with Executive Director April Kale. The purpose of this visit was to deliver the results of a complaint investigation.

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

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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 59-AS-20250827102300
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: MARBELLA OROVILLE
FACILITY NUMBER: 045000603
VISIT DATE: 10/28/2025
NARRATIVE
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Resident records are not readily available to facility staff. – UNSUBSTANTIATED

It was reported that the facility’s wifi / internet has not been functioning and as a result there is no access to resident medical records.

On 09/04/2025 the new internet vendor completed installation of temporary routers throughout the building and hot spots have not been used since that date. LPA reviewed an email to the licensee from AT&T which states that AT&T will complete service activation on 10/30/2025.

Executive Director stated when the facility’s internet service was not functioning staff were accessing resident records using hotspots. The facility’s IT department had required them to use an authenticator to ensure security (dual factor authentication). AT&T installed temporary routers in various locations throughout the facility and staff stopped using hotspots on 09/04/2025.

On 08/28/2025 LPA issued a physical plant citation partially related to the facility’s wifi being in disrepair. The facility has obtained advice and permission from their IT department that hotspots are secure to use and is requiring staff to use an authenticator in order to access resident records. This allegation is unsubstantiated.

Continued on LIC9099-C

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20250827102300
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: MARBELLA OROVILLE
FACILITY NUMBER: 045000603
VISIT DATE: 10/28/2025
NARRATIVE
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Staff mismanaged residents' medications. – UNSUBSTANTIATED

It was reported that the facility’s wifi / internet has not been functioning and as a result medication has been mis-managed.

On 09/04/2025 the new internet vendor completed installation of temporary routers throughout the building and hot spots have not been used since that date. LPA reviewed an email to the licensee from AT&T which states that AT&T will complete service activation on 10/30/2025.

Executive Director stated when the facility’s internet service was not functioning staff were accessing resident records using hotspots. The facility’s IT department has required them to use an authenticator to ensure security (dual factor authentication). AT&T installed temporary routers in various locations throughout the facility and Staff stopped using hotspots on 09/04/2025 There were no reported medication errors during this time.

On 08/28/2025 LPA issued a physical plant citation partially related to the facility’s wifi being in disrepair. The facility has obtained advice and permission from their IT department that hotspots are secure to use and is requiring staff to use an authenticator in order to access medication records. This allegation is unsubstantiated.

Facility is malodorous. – UNSUBSTANTIATED

It was reported that the memory care section of the facility smells horrible due to the carpet being unsanitary.

LPA reviewed a schedule for carpet cleaning services for October 2025 on the dates of 10/02/2025, 10/16/2025, and 10/30/2025. LPA reviewed invoices from High Tech Cleaning & Restoration for services rendered on the dates of 09/04/2025 and 09/18/2025.

LPA did not observe an odor on the dates they visited the facility’s memory care unit. LPA did observe significant staining of the carpets in the common areas.

This allegation is unsubstantiated.

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 Executive Director April Kale.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3