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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345920099
Report Date: 06/03/2026
Date Signed: 06/03/2026 03:12:23 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/27/2026 and conducted by Evaluator Melissa Parks
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20260527133619
FACILITY NAME:SPRING AZURE SENIOR CAREFACILITY NUMBER:
345920099
ADMINISTRATOR:CHUA-HARRIS, CHRISTINE DYAFACILITY TYPE:
740
ADDRESS:6924 OAK SPRING WAYTELEPHONE:
(916) 579-9222
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:6CENSUS: 6DATE:
06/03/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Dyan Chua-HarrisTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility is not sufficiently staffed to meet the needs of resident
Staff do not properly monitor residents alcohol consumption
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday June 3, 2026, unannounced to conduct a complaint visit regarding the above allegations. LPA met with Administrator Dyan and explained the purpose of the visit.

LPA interviewed Dyan and staff regarding the allegations. LPA learned the following: R1 has lived at the facility since February 2026. R1 needs assistance from staff to reposition. Per R1's request, staff are to wake them up (if needed) before repositioning. On May 26, 2026, staff attempted to wake R1 up in order to reposition them. R1 then began to yell at staff and hit S2 on their arm, leaving a bruise. R1 later apologized for their behavior, stating that they drank too much alcohol.

LPA reviewed staffing schedules for the facility: this facility currently has 6 residents, 4 of which are ambulatory and 2 are non-ambulatory. There are two staff scheduled 7am - 7pm daily with one awake staff from 7pm - 7am. Additionally, the administrator is here 9am - 5pm Monday - Friday and works as direct care staff on Saturday and Sunday. Staff stated that this was the only incident where R1 attempted to
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 59-AS-20260527133619
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SPRING AZURE SENIOR CARE
FACILITY NUMBER: 345920099
VISIT DATE: 06/03/2026
NARRATIVE
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hit staff and has not occurred since.

R1 has a history of being rude or yelling at staff. LPA interviewed R2 who stated that they felt the facility is staffed appropriately. R2 stated that their needs are being met.

LPA reviewed R1's facility file including LIC625, physicians report, admission agreement, and resident appraisal. R1 is their own power of attorney. Per R1's 602, there is no cognitive impairment, and they can manage their own medication. R1 needs assistance with dressing, toileting, and repositioning. R1 can leave the facility unassisted. LPA did not find any documentation from R1's physician stating that they could not drink or to limit alcohol. Additionally, there are no house rules regarding alcohol consumption. R1 refused to meet with LPA during the facility visit.

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.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2