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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045002696
Report Date: 04/15/2025
Date Signed: 04/15/2025 09:59:21 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
02/27/2025 and conducted by Evaluator Donna Gurriere
COMPLAINT CONTROL NUMBER: 59-AS-20250227141645
FACILITY NAME:TOWNSEND HOUSEFACILITY NUMBER:
045002696
ADMINISTRATOR:PASQUALE, CHABLISFACILITY TYPE:
740
ADDRESS:10 ILAHEE LNTELEPHONE:
(530) 342-4455
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY:38CENSUS: 35DATE:
04/15/2025
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:ANTOYA LEETIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Neglect/Lack of supervision.
Facility is understaffed.
Staff do not answer call button.
INVESTIGATION FINDINGS:
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On 04/15/25 Donna Gurriere arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 02/27/25. LPA Gurriere met with Antoya Lee, Administrator Assistant and explained the purpose of the visit.

Neglect/Lack of supervision.

During the interview process, the administrator, and eight staff persons were interviewed. Documents were obtained to include Physicians Reports, Emergency Information, Appraisals and Needs and Admission Agreements, Incident Reports, Medical Administrative Records (MARs), staff persons names and contact numbers.

continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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 2
Control Number 59-AS-20250227141645
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: TOWNSEND HOUSE
FACILITY NUMBER: 045002696
VISIT DATE: 04/15/2025
NARRATIVE
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During the investigation, it was reported that the resident (Resident 1) has had several falls. It was stated that the resident wants to be independent and tends to want to get up on her own without assistance. Staff reported that the resident has been reminded frequently that she needs to use the call button system when she wants to get up. It was stated that systems have been put in place to assist the resident with ambulating, to include, a stepping pad, physical therapy, chair alarms and the resident’s pendant. It was stated that staff are present at the facility and are available to meet the resident’s needs

In addition, it was reported that there was a lack of supervision with incontinence care. All staff reported that the resident is on a toileting schedule and is checked on every two hours and more frequently, as needed.

Facility is understaffed.

During the interview process, the administrator, and eight staff persons were interviewed. Documents were obtained to include Physicians Reports, Emergency Information, Appraisals and Needs and Admission Agreements, Incident Reports, Medical Administrative Records (MARs), staff persons names and contact numbers.

During the investigation, it was reported that at times, it is felt that the facility is understaffed. Overall, it was reported that the resident’s (Resident 1) needs are being met through her Assisted Daily Living (ADLs) tasks to include showering, incontinence care, toileting, dressing, personal hygiene, escorting and transferring.

Staff do not answer call button.

During the interview process, the administrator, and eight staff persons were interviewed. Documents were obtained to include Physicians Reports, Emergency Information, Appraisals and Needs and Admission Agreements, Incident Reports, Medical Administrative Records (MARs), staff persons names and contact numbers.

During the investigation, it was reported that at times it is very busy at the facility; however, the staff are available to answer call buttons in a timely manner.

Although the above allegations mentioned may have happened, or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the above findings are Unsubstantiated.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2