The Courtyard at Little Chico Creek

Type of visit: Required - 1 Year

On 01/22/2026, Licensing Program Analyst (LPA) Marisa Chiarelli, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Melissa Aceves and explained the purpose of the visit. LPA Chiarelli and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, backyard, shed, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, and trash can with lids. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. All chemicals are locked up. Hot water temperature was taken by facility maintenance they took water temperature in resident room and activity room, due to LPA thermometer not working, staff showed proof of water temperature at 111 F. LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors all in working order. LPA reviewed a total of five (5) residents' files and five (5) staff files. Reviewed medications for two (2) residents. All medication is locked up. Continued on LIC 809-C LPA requested following documents: Education requirements for 2 staff files from 2025 Other requested documents refer to LIC 9102 technical assistance notes. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jan 22, 2026

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff did not ensure changes in residents health condition were observed and addressed

On November 20, 2025, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegation directed by the Department. LPA Avila met with Melissa Aceves and explained the purpose of the visit. During the investigation process, interviews and a review of records were initiated. LPA investigated the allegation, “Staff did not ensure changes in residents health condition were observed and addressed.” Based on interviews it was indicated that R1's change in condition was addressed immediately. LPA observed documentation that Administrator had been in communication with the Regional Center regarding R1’s condition. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility. Unfoundedthe state’s words, verbatim · CDSS document, Nov 20, 2025 · control 59-AS-20250821160027

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87224(a)(4) · Plan of correction due date: Dec 5, 2025

87224(a)(4) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice....the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement is not met as evidence by: Based on documentation review, the notice served to R1 did not include a valid reason for eviction, which poses a potential health, safety, and personal rights violation to the residents in care.the state’s words, verbatim · CDSS document, Nov 20, 2025

Plan of correction: Licensee will develop a procedure to address resident eviction procedures. POC will be emailed to LPA by 12/05/2025.

Type of visit: Office

On September 3, 2025, at 2:00 PM, an office meeting was held via Microsoft Teams. In attendance were Licensing Program Manager Lauren Crocker, Licensing Program Analyst Kayla Adkison, Long-Term care ombudsmen Kay Hudleston, Far Northern Regional Center (FRNC) representatives Fabiola Gutierrez and Michelle Wetmore, Assistant Administrator Michelle Cartier, and Administrator Melissa Morales. The purpose of this meeting was to discuss potential care options for the future of a specific resident and how to ensure the resident's health and safety going forward. The resident was present for a portion of the meeting with assistance from FRNC representative Fabiola Gutierrez.. It was determined this meeting should be continued to a later date to include additional relevant parties. The meeting was rescheduled and adjourned. A copy of this report was provided via email to Administrator, Melissa Morales, via email for signature.the state’s words, verbatim · CDSS document, Sep 3, 2025

Allegation investigated: Questionable death.

On January 27, 2025 at approximately 10:30 AM, Licensing Program Analysts (LPAs), Farhaan Sarangi and Kayla Adkison arrived unannounced at Courtyard at Little Chico Inn, The for the purpose of delivering complaint findings. LPAs were greeted at the door by Assistant Administrator, Michelle Sans-Cartier, and was granted access into the facility. Department of Social Services-Community Care Licensing Division-Investigations Branch, Investigator Belman obtained and reviewed the Death Report from Butte County. LPA reviewed facility records. Resident could not be interviewed. LPAs toured the facility on January 27, 2025, and made observations. Complaint alleges Questionable Death. Based on a review of the Death Report conducted by Investigator Belman, there was insufficient evidence to support the allegation. The resident was identified as being on Hospice and was cared for by the facility and the respective Hospice Agency. A review of the Hospice Care Records indicate that the resident was receiving comfort care and received continuous checkup hospice care visits. (Report continued on LIC 9099C) Unsubstantiated Furthermore, Investigator Belman reviewed a Hospice Care Note dated for July 16, 2024 in which it states, “Great care all needs well met.” LPA could not corroborate the allegation. A finding that the complaint allegation of Questionable Death is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Assistant Administrator. Furthermore, LPA reviewed the Care Notes and learned that a staff member made a medication error which is documented on the Care Notes and signed by the Administrator on August 12, 2024 (See LIC 9099D). LPA educated the Assistant Administrator on the importance of ensuring that all residents are given proper dosages of medication as outlined in Title 22 Regulations and Physician Orders. Deficiencies cited from the Health and Safety Code. Appeal rights were provided. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in Civil Penalties. Exit interview was conducted, and a copy of this report was signed and given to the Resident Services Director along with Appeal Rights.the state’s words, verbatim · CDSS document, Jan 27, 2025 · control 59-AS-20240813163350

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Feb 3, 2025

87465(c)(2) Incidental Medical and Dental Care: (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on a review of an incident report dated for August 9, 2024, and Care Notes, the facility staff member did not administer the correct dosage of medication as outlined in the Physician Orders which presents a potential health, safety, and personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Jan 27, 2025

Plan of correction: Licensee/Administrator shall conduct staff training and provide proof of that training to Community Care Licensing. In addition, Licensee/Administrator shall fill out an LIC 9098-Self-Certification understanding of the regulation. Licensee/Administrator shall also provide a statement on how future compliance will be met. POC due date: February 3, 2025.

Type of visit: Required - 1 Year

On January 14, 2025 at approximately 11:15 AM, Licensing Program Analyst (LPAs), Farhaan Sarangi and Kayla Adkinson arrived unannounced at Courtyard at Little Chico Creek, The for the purpose of conducting a Required 1 year inspection. LPAs met with Administrator, Melissa Aceves and was granted access into the facility. LPAs and Administrator toured the facility. LPAs observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on February 2024 at the time of the inspection. All smoke and carbon detectors sound directly to the fire station. Water temperature in facility bathroom measured at 108 degrees, within acceptable range of 105 to 120 degrees F. LPAs observed sufficient perishable and non-perishable foods located in the kitchen. There are special provisions made for individuals with special dietary needs. Food menu was presently available for viewing during the inspection. Medications were centrally stored and locked. Cleaning products and other toxins are located in a locked room that was inaccessible to residents in care. There was a supply of linens, cleaners, hygiene products and paper products available for residents. All bathrooms designated for residents in the common areas at the facility were supplied with individual paper towels and hand soap. Bathrooms in resident’s rooms have a towel and soap. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. A tour of occupied bedrooms were conducted, and bedrooms inspected have lighting and appropriate furnishing. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms of COVID-19 or other infectious diseases are present in the facility. Infection Control Plan and Emergency Disaster Plan were reviewed and found to be appropriate. First Aid kit was inspected and found to be appropriate during the inspection. Emergency Disaster Drill was last conducted in December 2024. (Report continued on LIC 809C) During a review of staff files, LPA identified 1 out of 5 staff members not having the annual training as outlined in regulation (See LIC 9102-Technical Violation). LPA educated the Administrator on the importance of ensuring that training is conducted as outlined in Title 22 regulations. During a resident file review, LPA observed that 2 out of 5 residents did not have an updated LIC 602 (See LIC 9102-Technical Violation). LPA educated the Administrator on the importance of ensuring that the updated LIC 602 is retained in resident files. LPA requested the following documents to be sent: LIC 500- Personnel Report LIC 308- Designation of Facility Responsibility LIC 309- Administrative Organization Most up-to-date Liability insurance Control of Property Register of residents No deficiencies were cited during today's Required 1 year inspection. Exit interview was conducted, and a copy of this report was signed and emailed to the Administrator due to printer issues.the state’s words, verbatim · CDSS document, Jan 14, 2025

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff are not following protocals to prevent the spread of illness

On September 30, 2024 at approximately 11:45 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Courtyard At Little Chico Creek, The for the purpose of conducting a subsequent complaint investigation inspection and delivering findings. LPA was greeted at the door by Administrator, Melissa Aceves, and was granted access into the facility. During the course of the investigation, LPA reviewed the Infection Control Plan and the Staff Roster. In addition, LPA conducted staff interviews. Complaint alleges that Staff are not following protocals to prevent the spread of illness. Based on interviews that were conducted, LPA received inconsistent statements. LPA reviewed the Infection Control Plan and emails from the Local Public Health Authority and learned that the facility was following Local Public Health guidelines as it relates to staff who test positive for COVID-19. (Report continued on LIC 9099C) Unsubstantiated A finding that the complaint allegation of Staff are not following protocols to prevent the spread of illness are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.the state’s words, verbatim · CDSS document, Sep 30, 2024 · control 59-AS-20240815134720

Type of visit: Case Management - Incident

LPA received a call that the administrator was under the influence and activity drinking will disbursing medications for the facility. LPA arrived at the facility to discuss the incident reported. LPA toured the medication room and viewed the video footage for the last two days. There was no video footage that the administrator consumed alcohol while working and disbursing medications. Administrator reported that she is having challenges with an employee, who may have made reported this incident. Furthermore, the administrator reported that she does not drink alcohol. There is no evidence to support that the incident reported occurred. An exit interview was conducted. A copy of the report was provided to administrator.the state’s words, verbatim · CDSS document, Mar 14, 2024

Type of visit: Required - 1 Year

On 11/28/2023, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Melissa Morales and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, backyard, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair. Hot water temperature was measured within the required range. Facility has a 2-day perishable and a 7-day non-perishable amount of food. Facility offered a variety of menu options for the residents, and has a two part process to verify residents have attended meal time or received meal service in their room. LPA observed an activity calendar with a variety of activities available to the residents. LPA observed an activity room which had supplies for painting, puzzles and games. LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors. In the areas toured no immediate health, safety, or personal rights violations were observed. First aid is complete and ready for use. Administrator was unable to provide documentation of quarterly emergency disaster drills. LPA reviewed a total of five (5) residents' files and five (5) staff files. One staff file missing a criminal clearance. One resident who is diagnosed with dementia is missing an updated medical assessment within the last 12 months. Several topics were discussed. California Code of Regulations, (Title 22), is being cited on the attached LIC809D. A civil penalty for $100 per day for a maximum of 5 days, totaling $500 for criminal record clearance violation is being assessed on the attached LIC 421BG. An exit interview was conducted, and Plans of Corrections were reviewed and developed with the Administrator. A copy of this report, LIC 809-D, LIC421BG, and Appeal Rights were discussed and provided to Administrator.the state’s words, verbatim · CDSS document, Nov 28, 2023