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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455001827
Report Date: 04/30/2026
Date Signed: 04/30/2026 12:27:03 PM

Substantiated


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
11/10/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20251110114307
FACILITY NAME:OASIS RESIDENTIAL PROGRAMFACILITY NUMBER:
455001827
ADMINISTRATOR:DOOLEY, JOELFACILITY TYPE:
735
ADDRESS:665 STATE STREETTELEPHONE:
(530) 247-1651
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:3CENSUS: 2DATE:
04/30/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Administrator Christian HerrTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff does not ensure facility is kept free of mal odors.
INVESTIGATION FINDINGS:
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On April 30 2026, Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 11-14-25. LPA Benson met with administrator Christian Herr, and explained the purpose of the visit.

During the interview process, four staff persons and three residents were interviewed. The following documents were received and reviewed; client LIC 602’s, admission agreements, care plans, pre-placement assessments, medical assessment records, a staff roster with phone numbers, hospital records, a client roster with personal phone numbers.

Substantiated.

Continued on LIC9099C & LIC9099D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
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 6
Control Number 59-AS-20251110114307
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: OASIS RESIDENTIAL PROGRAM
FACILITY NUMBER: 455001827
VISIT DATE: 04/30/2026
NARRATIVE
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Staff does not ensure facility is kept free of mal odors.

LPA Adkinson observed the bedroom of resident R1 to be malodorous. LPA did not enter the bedroom, however, could smell what appeared to be feces from the door way. Assistant Administrator stated staff only touch R1’s belongings, including his door/doorknob, using gloves because he has issues with smearing feces and hiding feces in his room.
During staff interviews, S4 stated R1 has behaviors when poo falls out of pants and other clients step in it. S4 stated we have created a cleaning chart with a cleaning schedule. S4 stated staff have a schedule to inspect and clean after R1 uses the bathroom and laundry area. S4 stated it has been an ongoing issue with R1 toileting behaviors. S1 stated we have created a token chart where R1 earns tokens when he cleans up after himself or avoids accidents. S1 stated staff sign off to earn Dutch bro. or outings. S1 stated R1 is motivated by community activities. S1 stated R1 behaviors bring anger frustration to other clients.
The administrator stated the cleaning is continuing to progress as new issues come up, we have a cleaning program in place.
Resident interviews revealed that R3 stated every time I come home from work it smells. R3 stated there has been fecal matter in the bathroom, in the bathtub and on the floor in the hallway.

Based on investigation observations, record review(s) and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal rights were explained and provided to the facility
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6
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
11/10/2025 and conducted by Evaluator Sarah Benson
COMPLAINT CONTROL NUMBER: 59-AS-20251110114307

FACILITY NAME:OASIS RESIDENTIAL PROGRAMFACILITY NUMBER:
455001827
ADMINISTRATOR:DOOLEY, JOELFACILITY TYPE:
735
ADDRESS:665 STATE STREETTELEPHONE:
(530) 247-1651
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:3CENSUS: 2DATE:
04/30/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:TIME COMPLETED:
12:45 PM
ALLEGATION(S):
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9
Staff speaks inappropriately to client in care
Staff does not ensure clients are provided with recreational equipment for activities
Staff submits false records for clients in care
Staff does not ensure client is accorded personal privacy during phone calls
INVESTIGATION FINDINGS:
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On April 30 2026, Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 11-14-25. LPA Benson met with Christian Herr, Administrator, and explained the purpose of the visit.

During the interview process, four staff persons and three residents were interviewed. The following documents were received and reviewed; client LIC 602’s, admission agreements, care plans, pre-placement assessments, medical assessment records, a staff roster with phone numbers, hospital records, a client roster with personal phone numbers.

Unsubstantiated.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 59-AS-20251110114307
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: OASIS RESIDENTIAL PROGRAM
FACILITY NUMBER: 455001827
VISIT DATE: 04/30/2026
NARRATIVE
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Staff speaks inappropriately to client in care.
The administrator stated I did not witness the staff speaking inappropriately to clients, I only witnessed professional conversations with the clients in care.
During resident interviews R3 stated I can’t remember staff speaking inappropriately to the clients.

Staff does not ensure clients are provided with recreational equipment for activities.
A resident in care requested the facility purchase a punching bag for outdoor recreation, claiming it would help the residents with channeling their anger issues. LPA observed a gaming system, movies, and an outdoor weight bench.
The administrator stated R2 was enrolled in an Mixed martial arts (MMA) class. The Administrator stated the client was taken to an MMA class every Tuesday and Friday. The administrator stated R2 had a previous relationship with the MMA class owners, and he was allowed to go free. The administrator stated the class started about a month after R2 moved in. The administrator reported working with R2 for an incentive plan to get a punching bag. It was reported the bag R2 wanted was very expensive, about five hundred dollars. It was reported the incentive was to complete all of R2’s ADL’s, be respectful to staff and roommates, and attend his program. The administrator stated R2 was told he could buy the bag with his money but the client chose the incentive program. It was reported that the client was unable to complete the incentive program.
Resident interviews revealed that R3 stated we don’t have very much recreational equipment and not enough drivers to take us out for recreation. R3 stated we have a weight bench, old balls that are deflated. S4 stated we have an outdoor weight lifting station and bench, base balls, mitts, tether ball and a gaming system.

Staff submits false records for clients in care.
The administrator stated R2 would have a mental health break, would say he was going to hurt himself then when at crisis or emergency room R2 would tell the doctor he wasn’t going to hurt himself. Staff stated I witnessed R2 snap at the doctor and the doctor put R2 on a hold. The administrator stated I witnessed a majority of R2’s behaviors resulting in 5150s and never witnessed staff making false accusations.
During resident interviews R3 stated I know R2 gets aggressive, I remain scarce with confrontations, I stay in my room or go walking. R3 stated I have not witnessed staff making false records.

Unsubstantiated.

Continued on LIC9099C
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 59-AS-20251110114307
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: OASIS RESIDENTIAL PROGRAM
FACILITY NUMBER: 455001827
VISIT DATE: 04/30/2026
NARRATIVE
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Staff does not ensure client is accorded personal privacy during phone calls.
LPA observed resident R2 having a "Facetime" conversation with a family member. R2 had the phone volume extremely loud and was walking around the facility with the phone out in front of him. All other occupants of the facility could easily hear R2 conversation and there was no sense of expected privacy for the call. It was reported when R2 was on the phone, staff would stand at the door listening to the calls.
The administrator and S1 stated, I didn't witness staff standing at R2’s door listening to phone conversations. The administrator stated R2 would walk through the house on speaker phone, when staff would hear concerning issues then staff would address the issues with R2. The administrator reported R2 would then get upset and say staff were listing to his phone conversations, when the conversation could not help but be overheard.

Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 59-AS-20251110114307
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: OASIS RESIDENTIAL PROGRAM
FACILITY NUMBER: 455001827
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/29/2026
Section Cited
CCR
80087(a)
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Buildings and Grounds
(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.
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Administrator has corrected the smell of mal odors with a strict cleaning protocol with the clients and staff.
The POC has been completed during LPA visit.
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This requirement is not met as evidenced by: LPA observed the bedroom and the hallway immediately outside of clients room to be malodorous. Which poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Sarah Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6