Inspection Reports for Sierra Oaks Assisted Living & Memory Care
1520 Collyer Dr, Redding, CA 96003, United States, CA, 96003
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent complaint investigation on September 15, 2025, which found staffing adequate and no violations. Earlier reports showed some isolated issues, such as a substantiated medication error in September 2024 without adverse effects, and a failure to control the spread of scabies in June 2024 that posed a health risk. Other deficiencies involved a resident injury caused by staff misconduct in January 2024 and a failure to notify responsible parties of incidents in late 2023. Several complaint investigations were unsubstantiated, including allegations of understaffing and inadequate training. The facility’s record shows improvement over time, with recent inspections free of deficiencies after addressing prior concerns.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 80
Capacity: 113
Deficiencies: 0
Sep 15, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was understaffed, resulting in residents waiting for assistance.
Findings
The investigation found that staffing was adequate for the month of August 2025, with no instance of only one staff on duty. The allegation of understaffing and residents waiting more than an hour for assistance was unsubstantiated, with an average call light response time of 12 minutes. No deficiencies were cited.
Complaint Details
The allegation that the facility was understaffed causing residents to wait for assistance was investigated and found to be unsubstantiated.
Report Facts
Capacity: 113
Census: 80
Staff count: 9
Staff count: 7
Average wait time: 12
Residents per staff allegation: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Stevens | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| Rebecca Knight | Licensing Program Analyst | Conducted the complaint investigation |
| Lauren Crocker | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 113
Deficiencies: 0
Jul 17, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to follow up on an incident report regarding a resident who sustained a fractured right femur.
Findings
The department reviewed the incident involving resident R1 who was found on the ground twice and later diagnosed with a fractured right femur. Interviews were conducted with the administrator and nurse director. No citations were issued at this time, and the case remains under review.
Complaint Details
The visit was triggered by a complaint/incident report sent by the facility on 2025-06-17 concerning resident R1's fractured right femur. The department is reviewing the case and will follow up as needed. No citations were issued per Title 22 Regulations.
Report Facts
Incident date: Jun 16, 2025
Incident report date: Jun 17, 2025
Visit start time: 1115
Visit end time: 1215
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Stevens | Administrator | Met with Licensing Program Analyst during inspection and interviewed regarding incident |
| Susan Mosby | Nurse | Met with Licensing Program Analyst during inspection and interviewed regarding incident |
| Sarah Benson | Licensing Program Analyst | Conducted the case management visit |
| Lauren Crocker | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 74
Capacity: 113
Deficiencies: 0
Apr 25, 2025
Visit Reason
The inspection was an unannounced Required-1 Year annual inspection to ensure the health and safety of residents in care.
Findings
The facility was found to be in compliance with no deficiencies cited. The environment was clean, safe, and well-maintained, with all required equipment and supplies in place and operational.
Report Facts
Food supply: 7
Food supply: 2
Fire extinguisher service date: 2025
Smoke detector test date: 2025
Hot water temperature range: 105-120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Kayla Adkison | Licensing Program Analyst | Conducted the inspection |
| Lauren Crocker | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 113
Deficiencies: 0
Jan 23, 2025
Visit Reason
The inspection was conducted as a Case Management-Incident visit to review an incident report dated December 16, 2024, and to assess the facility's compliance with incident reporting regulations.
Findings
No deficiencies were cited during the Case Management-Incident inspection. The Licensing Program Analyst educated the Administrator on proper incident reporting as outlined in Title 22 regulations.
Complaint Details
The visit was complaint-related, reviewing an incident report. The facility was not late in reporting but made a reporting error. No deficiencies were cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met with Licensing Program Analyst during inspection and discussed incident report. |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the Case Management-Incident inspection. |
| Lauren Crocker | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 113
Deficiencies: 0
Sep 24, 2024
Visit Reason
The inspection was conducted as a Case Management-Incident Inspection following a reported medication error incident at the facility.
Findings
The inspection found that a caregiver gave the wrong medication to a resident, but no adverse reactions occurred. The caregiver is no longer passing medication and is in training. No deficiencies were cited during the inspection.
Complaint Details
The visit was complaint-related due to a medication error incident reported on September 16, 2024. The incident was substantiated with no adverse reactions reported. Responsible parties and the physician were notified.
Report Facts
Capacity: 113
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met during inspection and reported on medication error incident |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the inspection and educated the Administrator |
| Lauren Crocker | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 113
Deficiencies: 1
Jun 18, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-04-03 regarding staff not mitigating the spread of scabies in the facility.
Findings
The investigation found that staff were not effectively mitigating the spread of scabies, with approximately 15 residents and three staff developing rashes, and two residents plus a family member diagnosed with scabies. The facility failed to meet the requirement to provide safe, healthful, and comfortable accommodations, posing a potential risk to residents.
Complaint Details
The complaint was substantiated based on investigation observations, interviews, and record reviews. The allegation that staff were not mitigating the spread of scabies was confirmed.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Personal Rights - To be accorded safe, healthful, and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by the spread of scabies in the facility, posing a potential risk to residents in care. | Type B |
Report Facts
Residents with rash: 15
Staff with rash: 3
Residents diagnosed with scabies: 2
Facility capacity: 113
Facility census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donna Gurriere | Licensing Program Analyst | Conducted the complaint investigation and delivered final findings |
| Annie Clayton | Resident Care Director | Met with the Licensing Program Analyst during the investigation |
| Kristine Boban | Administrator | Interviewed during the investigation and provided documents |
| Lauren Crocker | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 79
Capacity: 113
Deficiencies: 1
Mar 12, 2024
Visit Reason
The visit was an unannounced 1-Year Required Annual Inspection conducted to ensure the health and safety of residents in care at the facility.
Findings
The facility was generally clean, odor-free, and well-maintained with proper safety equipment and documentation. However, two of eleven bathrooms had damage posing an immediate health, safety, or personal rights risk to residents, resulting in cited deficiencies.
Deficiencies (1)
| Description |
|---|
| Two out of eleven bathrooms had damage which poses an immediate health, safety or personal rights risk to persons in care. |
Report Facts
Residents' files reviewed: 7
Staff files reviewed: 5
Bathrooms with damage: 2
Total bathrooms observed: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Facility Administrator met with Licensing Program Analyst during inspection |
| Jaynae Boyles | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lauren Crocker | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 113
Deficiencies: 1
Jan 3, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-11-16 regarding a resident sustaining an injury from another resident while in care.
Findings
The investigation found that on 2023-10-19, a staff person was shadow boxing with one resident, which led to that resident hitting another resident causing an injury. The injured resident was treated at a hospital and returned to the facility. The staff person involved was terminated. The allegation was substantiated based on interviews, observations, and record reviews.
Complaint Details
The complaint was substantiated. The incident involved a resident injury caused by another resident during a staff member's inappropriate behavior (shadow boxing). The staff member was terminated. The facility was cited for failure to protect the resident from injury under HSC 1569.2(c).
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. The licensee did not ensure that the resident was protected from an injury. | Type A |
Report Facts
Capacity: 113
Census: 74
Deficiencies cited: 1
Plan of Correction Due Date: Jan 4, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donna Gurriere | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kristine Boban | Administrator | Facility administrator met with the investigator and was involved in the investigation |
| Lauren Crocker | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 113
Deficiencies: 1
Dec 6, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-04-17 regarding multiple allegations including failure to report incidents to responsible parties, staff negligence, and failure to meet resident care and dietary needs.
Findings
The investigation substantiated that staff failed to notify the responsible party of a resident's fall, citing a deficiency under CCR 87211(a)(1). Other allegations regarding staff negligence, failure to assist with medical care, and failure to meet dietary needs were found unsubstantiated or unproven due to insufficient evidence.
Complaint Details
The complaint included allegations that staff did not report an incident to the responsible party, staff negligence causing resident injuries, failure to assist residents with medical care, failure to follow resident care plans, and failure to meet dietary needs. The allegation of failure to notify the responsible party was substantiated. Allegations of staff negligence and failure to assist with medical care were found unfounded. Allegations regarding care plan and dietary needs were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff did not notify the responsible party of a resident's fall on April 4, 2023, violating reporting requirements. | Type B |
Report Facts
Capacity: 113
Census: 74
Deficiencies cited: 1
Plan of Correction Due Date: Jan 5, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kristine Boban | Administrator | Facility administrator who admitted failure to notify responsible party |
| Troy Ordonez | Licensing Program Manager | Oversaw the licensing program and signed the report |
Inspection Report
Annual Inspection
Census: 82
Capacity: 113
Deficiencies: 0
Apr 20, 2023
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and assess the condition of the premises and care provided.
Findings
No deficiencies were cited during the inspection. Some issues were noted such as flooring lifting in building three and missing ends on handrails in building one, but these were not cited as they did not pose immediate hazards. The facility was advised to submit a waiver request for the locked perimeter gates.
Report Facts
Capacity: 113
Census: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met with Licensing Program Analysts during the inspection |
| Susan Mosby | Resident Care Director | Met with Licensing Program Analysts during the inspection |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the inspection |
| Sarah Benson | Licensing Program Analyst | Conducted the inspection |
| Lauren Crocker | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 113
Deficiencies: 0
Mar 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-09-28 alleging that facility staff were not properly trained and that the facility kitchen refrigerator door was in disrepair.
Findings
The investigation included interviews with the administrator, dietary director, and eight staff members, as well as document reviews and a facility walkthrough. The findings concluded that staff training was adequate and the refrigerator door was securely closed despite a malfunctioning secondary latch, which was being repaired. Both allegations were found to be unsubstantiated or unfounded.
Complaint Details
The complaint investigation was unsubstantiated for the allegation that facility staff were not properly trained. The allegation that the facility kitchen refrigerator door was in disrepair was found to be unfounded.
Report Facts
Capacity: 113
Census: 78
Staff interviewed: 10
Training hours required: 40
Training hours required: 20
Training hours required: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donna Gurriere | Licensing Program Analyst | Conducted the complaint investigation and COVID-19 protocols |
| Sarah Benson | Licensing Program Analyst | Assisted in the complaint investigation and COVID-19 protocols |
| Mindy Rachael | Assistant Director | Met with LPAs during the investigation |
| Kristine Boban | Administrator | Facility administrator interviewed during investigation |
| Rebecca Knight | Licensing Program Analyst | Conducted walk-through inspection of refrigerator door |
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 1
Aug 2, 2022
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 07/29/2022 alleging financial abuse related to failure to issue a refund upon the death of a resident and removal of the resident's personal property.
Findings
The investigation substantiated that the licensee did not refund the prorated balance of fees within 30 days after the resident's death and removal of property, violating the admissions agreement. A deficiency was cited for failure to refund $5314.36 to the responsible party.
Complaint Details
The complaint alleged financial abuse due to failure to issue a refund within 30 days after the death of a resident and removal of personal property. The allegation was substantiated based on evidence that the refund of $5314.36 was not issued to Resident 1's responsible party as required.
Deficiencies (1)
| Description |
|---|
| Failure to refund prorated fees within 30 days after resident's death and removal of property, posing a potential health and safety risk. |
Report Facts
Refund amount: 5314.36
Total capacity: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met during investigation and named in findings related to refund failure |
| Misty Valencia | Licensing Program Analyst | Conducted the complaint investigation |
| Shannon Dieagoruelas | Licensing Program Analyst | Conducted the complaint investigation |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 84
Capacity: 113
Deficiencies: 0
Aug 2, 2022
Visit Reason
The visit was an announced health and safety case management check conducted by Licensing Program Analysts to ensure compliance with health protocols and assess the facility's handling of relocated residents due to a nearby wildfire evacuation.
Findings
No deficiencies were cited during the visit. The facility was found to be adequately staffed, with sufficient food supply and accommodations for the additional residents relocated due to the McKinney Fire. Residents reported satisfaction with care and food.
Report Facts
Residents relocated due to evacuation: 13
Residents evacuated from Siskiyou Springs Senior Living Community: 60
Fire acreage burned: 55493
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met during the inspection and provided information about relocated residents and facility operations |
| Misty Valencia | Licensing Program Analyst | Conducted the health and safety visit |
| Shannon Dieagoruelas | Licensing Program Analyst | Conducted the health and safety visit |
| Maribeth Senty | Licensing Program Manager | Named in the report header |
Inspection Report
Original Licensing
Census: 68
Capacity: 113
Deficiencies: 0
May 11, 2022
Visit Reason
The visit was conducted as a Post-Licensing visit to evaluate the facility following licensing.
Findings
The facility was toured and inspected, including client rooms, bathrooms, and common areas. All safety equipment was operational, and no deficiencies were found during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met with Licensing Program Analyst during the Post-Licensing visit. |
| Misty Valencia | Licensing Program Analyst | Conducted the Post-Licensing visit and inspection. |
| Maribeth Senty | Licensing Program Manager | Named in the report header. |
Inspection Report
Original Licensing
Census: 57
Capacity: 113
Deficiencies: 0
Apr 5, 2022
Visit Reason
The visit was conducted as a pre-licensing inspection and Comp III Orientation to evaluate the facility's readiness for licensing and to confirm compliance with applicable regulations.
Findings
The facility was toured inside and out, including client rooms, bathrooms, and common areas. All areas were found to be properly equipped and maintained, with operational safety equipment and no deficiencies noted. The facility is ready to be licensed.
Report Facts
Capacity: 113
Census: 57
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Boban | Administrator | Met with Licensing Program Analyst during the pre-licensing visit |
| Misty Valencia | Licensing Program Analyst | Conducted the pre-licensing inspection and orientation |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on the report |
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