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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002932
Report Date: 12/11/2025
Date Signed: 12/11/2025 10:53:14 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
08/07/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20250807124303
FACILITY NAME:HILLTOP SPRINGS SENIOR LIVINGFACILITY NUMBER:
455002932
ADMINISTRATOR:LEHNER, TRACYFACILITY TYPE:
740
ADDRESS:7 HILLTOP DRTELEPHONE:
(530) 395-1777
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:211CENSUS: 101DATE:
12/11/2025
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Administrator Tracy LehnerTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff forced resident to have blood drawn.
INVESTIGATION FINDINGS:
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On 12-11-25 Licensing Program Analyst (LPAs) Sarah Benson and Marisa Chiarelli, arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 08-07-25. LPAs Benson and Charelli, met with Administrator Tracy Lehner, and explained the purpose of the visit.

During the interview process, three staff persons and one residents were interviewed. Documents were received and reviewed to include the resident rooster, staff list and phone number, staff schedule, resident admission agreement, physician report and medical records.


Continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
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-20250807124303
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: 12/11/2025
NARRATIVE
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Staff forced resident to have blood drawn.

During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation.

During interviews, Staff stated I have never forced a resident to have their blood drawn. Staff stated If a resident doesn’t want their blood drawn, we don’t make them. Staff stated I didn’t know that R1 didn’t want labs drawn. During LPA Bensons visit, staff verified with the lab and the resident did have her blood drawn.

During resident interviews the resident R1 stated on 7-2-25 very early in the morning the medication technician opened the door and let in the lab staff. R1 reported the med. tech stated that the lab was here to draw my blood. R1 stated I told the medication technician I didn’t want my blood drawn. R1 stated the med. tech. told the lab staff to take my blood. R1 stated it was early, I was still drowsy and I ask who authorized this blood draw, they said they didn’t know. R1 stated I was so sleepy I didn’t tell them no, I was still in my pj’s.

The resident stated I didn’t tell them no and therefore the allegation is unsubstantiated.



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, the findings are Unsubstantiated.

No citations were issued per Title 22 Regulations.

Exit interview conducted and copy of the report was given to Administrator.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2