455001553-10-14-2025-59-AS-LCRR-DMXVG5-20251030162459

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455001553
Report Date: 10/14/2025
Date Signed: 10/14/2025 10:32:49 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
09/11/2025 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20250911093711

FACILITY NAME:	AN OSPREY RETREAT		FACILITY NUMBER:	455001553
ADMINISTRATOR:	KNOTT-PUCKETT, GRACE		FACILITY TYPE:	740
ADDRESS:	2154 OSPREY LN		TELEPHONE:	(530) 224-1168
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	6	CENSUS: 4	DATE:	10/14/2025
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Grace Puckett - administrator		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Licensee does not ensure there is enough food for residents in care. – UNSUBSTANTIATED
Licensee does not ensure that residents have hygiene supplies readily available. – UNSUBSTANTIATED

INVESTIGATION FINDINGS:

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10/14/2025 09:40 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to deliver the results of a complaint investigation. LPA met with administrator Grace Puckett and explained the purpose of the visit.

During the course of the investigation LPA conducted interviews and inspected the facility. LPA reviewed copies of the following documents: Receipts and shopping lists for grocery and supplies shopping for the months of August and September 2025, menu, staff list with telephone numbers.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025

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-20250911093711

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: AN OSPREY RETREAT	FACILITY NUMBER: 455001553
	VISIT DATE: 10/14/2025

NARRATIVE

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Licensee does not ensure there is enough food for residents in care. - UNSUBSTANTIATED

It was reported that there is constantly no food in the house, and even when they go shopping there is nothing.

On 09/15/2025 LPA observed a menu posted on the refrigerator. LPA confirmed that the ingredients required for the posted lunch menu were present in the facility. LPA inspected a refrigerator in the kitchen, pantry, cupboards, and a second refrigerator in a utility room and found the freezers to be low on frozen meat. All other staples were stocked at a reasonable amount. During the visit the facility received a delivery of meat, milk, cheese, fresh vegetables and fruits. LPA was informed that this is the weekly supply delivery.

LPA reviewed shopping lists and grocery receipts for August 2025 to current and found the quality and quantity of food items to be acceptable for the home.

Administrator stated the company stores a lot of the meat and pantry items at a corporate office. The facility receives a shipment of one week of supplies every Monday. Any time staff tells the administrator they are low on something the administrator brings whatever they need. The facility follows a pre-planned menu each week.

This allegation is unsubstantiated.

Continued on LIC9099-C

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250911093711

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: AN OSPREY RETREAT	FACILITY NUMBER: 455001553
	VISIT DATE: 10/14/2025

NARRATIVE

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Licensee does not ensure that residents have hygiene supplies readily available. – UNSUBSTANTIATED

It was reported that licensee does not ensure there are paper towels or enough "wipes" for residents in care.

LPA observed one packet of wipes in one bathroom, and three rolls of paper towels in the utility room. During the visit the facility received a delivery of wipes, soap, paper towels, and cleaning supplies. LPA was informed that this is the weekly supply delivery.

LPA reviewed shopping lists and grocery receipts for August 2025 to current and found the quantity of hygiene items to be acceptable for the residents in care.

Administrator stated they stock 5 rolls of paper towels at the facility and usually there are 2 packs of wipes on hand per client per week. The facility currently has two incontinent clients.

This allegation is unsubstantiated.

This agency has investigated the above allegations. 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 administrator Grace Puckett.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025

LIC9099 (FAS) - (06/04)

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