Incident investigation·September 30, 2025

On 9/30/2025 at 11:10 AM Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced visit to the facility. The purpose of the visit to was follow-up on a incident that occurred at the facility on August 19, 2025. LPA spoke with facility administrator Lita Siebenthal. The current census is 6 with 2 facility staff. On August 19, 2025 LPA Shakaricka Hughes received an email from the facility regarding residents in the facility being handled aggressively while being on a walk around the facility. The report was witnessed by an individual outside of the facility. LPA spoke with facility administrator regarding facility staff (S1), returning to work in the facility. Administrator stated that facility staff has been on leave from the facility pending review of the incident by CCLD. Administrator has provided a correction plan for facility staff (S1), and has re-trained all facility staff with a training course provided by CCLD Violence in the Workplace and has also conducted various trainings with an outside training vendor. LPA has referred the facility to the Technical Support Program (TSP) for additional assistance to ensure the facility meets licensing requirements. Additionally, LPA discussed with the administrator how the facility will ensure the health and safety of all residents in care. Administrator has provided a statement via email stating how the facility will prevent incidents from happening in the facility. CCLD South Sacramento RO has scheduled a Non Compliance Conference with the Licensee/Administrator to discuss methods to ensure the facility remains in compliance with Title 22 regulations. An exit interview was conducted with Licensee/Administrator Lita, and a copy of this LIC 809 report was provided to the facility.