455002932-2-27-2026-59-AS-LCRR-DSVU6M-20260406151831

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002932
Report Date: 02/27/2026
Date Signed: 02/27/2026 12:48:49 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
12/05/2025 and conducted by Evaluator Sarah Benson

COMPLAINT CONTROL NUMBER: 59-AS-20251205083001

FACILITY NAME:	HILLTOP SPRINGS SENIOR LIVING		FACILITY NUMBER:	455002932
ADMINISTRATOR:	LEHNER, TRACY		FACILITY TYPE:	740
ADDRESS:	7 HILLTOP DR		TELEPHONE:	(530) 395-1777
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	211	CENSUS: 101	DATE:	02/27/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator Tracy Lehner		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff left residents room soiled with feces.

INVESTIGATION FINDINGS:

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On February 27 2026, Sarah Benson, Licensing Program Analyst (LPA), arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 12-05-25. LPA Benson met with Tracy Lehner Administrator, Howard Hartman Medication room manager, Lorena Kot Health Service Manger and explained the purpose of the visit.

During the interview process, five staff persons were interviewed. The following documents were received and reviewed: staff list and phone number, staff schedule, admission agreement, care plan, call button records and a photo.

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

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-20251205083001

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: 02/27/2026

NARRATIVE

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Staff left residents’ room soiled with feces.
On 12-09-25 Licensing Program Analyst LPA Sarah Benson inspected the room with the Administrator. During the inspection the room and floor were clean and free of odor. At the time of the inspection the Administrator shared a picture of a spot about 1 inch by 2 inches on a carpet. The Administrator stated on 12-07-25 It was reported to me by a staff member of a spot on the floor of a resident’s room that had been there for months. Administrator stated, I went to the room and there was a soiled spot on the floor about one inch by two inches. The Administrator shared a photo of the spot with LPA Benson. Administrator asked staff why it was not reported. Administrator stated the staff member stated they had given a handwritten note to another staff and it was reported to corporate five times, “I don’t know who”. Administrator stated it was never reported to me, the staff member didn’t report it to the proper staff through the proper channels. Administrator stated that housekeeping cleaned the floors on 12-07-25, the same day the spot was brought to my attention.
During the investigation it was reported that a residents room was soiled with feces for months. During the investigation the LPA inspected the room and found it clean and odor-free. The Administrator shared a picture of a spot that was not identified, 1 inch by 2 inches. It was reported that the spot was cleaned when brought to the Administrators attention.

Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated.

An exit interview was conducted and a copy of the report was given to the Administrator.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

LIC9099 (FAS) - (06/04)

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