Complaint Investigation Report

Shifts for caregivers and Med techs are as follows:

During record review, it was revealed on the staff schedules provided by management at Sierra Oaks and staff that for house 2 at Sierra Oaks of Redding there were only these staff persons working, listed below:

March 1 st – for PM shift only one staff person, one staff person for NOC shift, and only one staff person for AM shift.

March 8 th – one staff person for AM shift, two staff person for PM shift, two person for NOC shift.

March 15 th – one staff person for PM shift, and one caregiver and med tech for NOC shift, no staff persons for AM shift were scheduled for that day. Later on, in the investigation LPA Chiarelli confirmed updated schedule that NOC shift stayed later than scheduled to help in the AM.

March 22 nd – one staff person for AM shift, one staff person for PM shift, and two staff persons for NOC shift.

During LPA Chiarelli’s investigation three staff persons were interviewed. It was revealed and was confirmed by all staff interviewed that staff were being put on the schedule twice to show they were working in multiple houses. Staff persons who were listed twice on the schedule only worked one house not two like the schedule stated. This evidence showed that there was in fact not as many people working in multiple houses as per stated by original schedule given to LPA Chiarelli by administrator Lang when they visited the facility on 3/18/2026. Updated schedule was given to LPA Chiarelli by staff persons.