045002441-4-28-2026-59-AS-LCRR-DTKSEW-20260428134926

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045002441
Report Date: 04/28/2026
Date Signed: 04/28/2026 09:54:11 AM

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
06/26/2025 and conducted by Evaluator Kayla Adkison

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20250626121539

FACILITY NAME:	AMBER GROVE PLACE		FACILITY NUMBER:	045002441
ADMINISTRATOR:	REITZ, BRENDA		FACILITY TYPE:	740
ADDRESS:	3049 ESPLANADE		TELEPHONE:	(530) 826-3226
CITY:	CHICO	STATE: CA	ZIP CODE:	95973
CAPACITY:	70	CENSUS: 53	DATE:	04/28/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Kristi Bracisco, HR and Talent Coordiantor		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff does not ensure adequate supervision is being provided to residents in care
Staff did not ensure resident was fully clothed while in care

INVESTIGATION FINDINGS:

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On April 28, 2026, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose pf delivering complaint findings. LPA was greeted by Human Resources and Talent Coordinator, Kristi Bracisco, and explained the purpose of the visit. During the visit, there were 53 residents and 7 staff providing direct care.

During the course of the investigation, interviews were conducted, observations were made, and pertinent records were reviewed.

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

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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Control Number 59-AS-20250626121539

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: AMBER GROVE PLACE	FACILITY NUMBER: 045002441
	VISIT DATE: 04/28/2026

NARRATIVE

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Allegation: Staff does not ensure adequate supervision is being provided to residents in care

It was alleged that staff were not providing adequate care and supervision to residents by not regularly checking on residents’ whereabouts in the facility. According to the complaint, a visitor arrived at the facility and staff were unable to locate the resident the visitor was there to meet with. The resident was later located in their room taking a nap. The visitor claimed staff were unable to provide any details regarding the residents’ previous whereabouts and actions.

LPA conducted interviews separately with three (3) staff members who were present on the day of the above incident and all of whom stated the allegations were inaccurate. All staff stated that on the day of the incident described above, R1 had just finished their lunch and had indicated to staff that they would prefer to rest in the afternoon, rather than participate in activities as they usually did. A family member of R1 had arrived to the facility and was unable to locate the resident in the activities room or any other common areas. R1’s bedroom door was closed and locked as well to prevent other residents from potentially disturbing R1 during their nap.

All staff interviewed noted the family member had arrived during the PM shift change at the facility, thus, when R1’s family member asked several staff where they could find R1, oncoming staff responded with “I don’t know.” S1, who had been at the facility prior to shift change and remained at the facility during the incident, explained to the family member that R1 was in their room and other staff were unaware of R1’s whereabouts as they had just arrived for their shifts. S1 allowed the family member into S1’s room where they were still napping.

Although the allegation may have happened, the preponderance of evidence has not been met. Therefore, the allegation is UNSUBSTANTIATED.

Continued on LIC 9099-C

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250626121539

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: AMBER GROVE PLACE	FACILITY NUMBER: 045002441
	VISIT DATE: 04/28/2026

NARRATIVE

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Allegation: Staff did not ensure resident was fully clothed while in care

It was further alleged that staff were not properly assisting R1 with dressing for the day, as indicated in R1’s care plan.

LPA conducted interviews separately with three (3) staff members who were present on the day of the above incident and all of whom stated the allegations were inaccurate. Staff were in agreeance that R1 had requested to go to their room to rest following lunch. All staff reported that staff had provided R1 with a shower prior to having R1 lay down in their bed. S1 further reported that R1 had requested to lay down without pants on for comfort and R1’s clothing was placed next to their bed so R1 could be assisted with re-dressing once they had woken up.

LPA reviewed facility shower logs and confirmed R1 was provided a shower from an AM shift (6:00 am – 3:00 pm) staff person on the same day as the allegation. Further, facility progress notes indicated that the resident did in fact have a visitor that afternoon, left the facility accompanied by family, and returned to the facility around dinner time where they then returned to their room to rest and watch television.

Although the allegation may have happened, the preponderance of evidence has not been met. Therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted. A copy of this report was provided to Executive Director, Stacey Baxter, via email.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

LIC9099 (FAS) - (06/04)

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