Complaint Investigation Report, 05/16/2024 — Barkers Residential Care, Montague CA

Complaint Investigation Report

Barkers Residential Care, Montague05/16/2024Licence 471372608

Date signed05/16/2024 03:17:04 PM

The inspector’s account

471372608-5-16-2024-59-AS-KHOS-DBSKSN-20241209070946

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 9835 GOETHE ROAD, SUITE 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/08/2024 and conducted by Evaluator Sarah Benson

COMPLAINT CONTROL NUMBER: 59-AS-20240508103355

On 05/16/24 at 1:00 PM Licensing Program Analyst (LPA) Sarah Benson and Licensing Program Manager Lauren Crocker conducted an unannounced visit and met with administrator David and Erykah Small House Manager, Sandee Crane Administrator and Juanita Potts Licensee. The purpose of this visit was to open a complaint investigation.

LPM Crocker conducted reviews of the resident records and the required information was available. Resources for record keeping were discussed and will be provided via email.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction