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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002932
Report Date: 12/02/2024
Date Signed: 12/02/2024 01:55:48 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
10/28/2024 and conducted by Evaluator Farhaan Sarangi
COMPLAINT CONTROL NUMBER: 59-AS-20241028125940
FACILITY NAME:HILLTOP SPRINGS SENIOR LIVINGFACILITY NUMBER:
455002932
ADMINISTRATOR:O'FARRELL, KEILAFACILITY TYPE:
740
ADDRESS:7 HILLTOP DRTELEPHONE:
(530) 395-1777
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:211CENSUS: 168DATE:
12/02/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator, Keila O'FarrellTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Unqualified staff is providing care and supervision.
Uncleared individuals are allowed stay on the facility grounds.
Staff are mishandling the residents medications.
Staff are not meeting the residents needs while in care.
Staff do not properly safeguard the facility grounds.
Staff do not provide adequate food service.
Facility not providing basic laundry services to residents.
INVESTIGATION FINDINGS:
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On December 2, 2024 at approximately 09:30 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Hilltop Springs Senior Living for the purpose of opening and delivering complaint findings. LPA was greeted at the door by Administrator, Keila O'Farrell, and was granted access into the facility.

During the opening of the complaint, LPA interviewed the Administrator and a random sample of residents in care. In addition, LPA reviewed staff files and a resident file.

Complaint alleges that unqualified staff is providing care and supervison. Based on interviews that were conducted and an observation of facility training, LPA could not prove or disprove the allegation. On December 2, 2024, LPA conducted a staff file review which included staff training on a random sample of staff members, LPA reviewed staff training and found no discrepancies in staff training. LPA could not corroborate the allegation. (Report continued on LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
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-20241028125940
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: HILLTOP SPRINGS SENIOR LIVING
FACILITY NUMBER: 455002932
VISIT DATE: 12/02/2024
NARRATIVE
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Complaint alleges that Uncleared individuals are allowed stay on the facility grounds. Based on observation of the Guardian Background Clearances and a tour of the facility, LPA could not prove or disprove the allegation. Furthermore, during a tour of the facility, LPA checked ALL staff that were working at the facility. All staff that were present have background clearances as outlined in Title 22 regulations. LPA could not corroborate the allegation.

Complaint alleges that Staff are mishandling the residents medications. Based on interviews that were conducted and a review of a resident medication, LPA could not prove or disprove the allegation. LPA conducted a review of the Medication Administration Record (MAR) for Resident #1 for the dates of February 2024 through September 2024 and observed no concerns. Furthermore, LPA conducted interviews and received inconsistent statements as it relates to the allegation. LPA could not corroborate the allegation.

Complaint alleges that Staff are not meeting the residents needs while in care. Based on interviews that were conducted with a random sample of residents in care, LPA could not prove or disprove the allegation. Furthermore, during interviewing with residents, LPA learned of no concerns. LPA could not corroborate the allegation.

Complaint alleges that Staff do not properly safeguard the facility grounds. Based on an observation during the tour of the facility on December 2, 2024, LPA could not prove or disprove the allegation. Furthermore, during said tour, LPA observed the facility to be safe and secure. During interviews with a random sample of residents in care, LPA learned of no concerns and that the residents feel safe, secure and sleep well at night.

Complaint alleges that Staff do not provide adequate food service. Based on observation of the food service at the facility on December 2, 2024, LPA could not prove or disprove the allegation. LPA observed kitchen staff making food and residents consuming food that was made by kitchen staff in the dining room. In addition, LPA conducted a tour of the Memory Care Unit and found that residents were eating hot food from a Cambro Cart which keeps the food hot. LPA inspected a plate of food and observed the food to be hot to the touch. During an interview with a random sample of residents, LPA received inconsistent statements as it relates to the allegation and also could not corroborate the allegation. (Report continued on LIC 9099C)
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20241028125940
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: HILLTOP SPRINGS SENIOR LIVING
FACILITY NUMBER: 455002932
VISIT DATE: 12/02/2024
NARRATIVE
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Complaint alleges that Facility not providing basic laundry services to residents. Based on interviews that were conducted, LPA received inconsistent statements as it relates to the allegation. Furthermore, LPA toured the laundry room and observed that the laundry was being completed by staff members that were on shift. LPA could not corroborate the allegation.

A finding that the complaint allegations of: Unqualified staff is providing care and supervision,
Uncleared individuals are allowed stay on the facility grounds, Staff are mishandling the residents medications, Staff are not meeting the residents needs while in care, Staff do not properly safeguard the facility grounds, Staff do not provide adequate food service and Facility not providing basic laundry services to residents are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3