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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002792
Report Date: 11/14/2025
Date Signed: 11/14/2025 04:41:10 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
06/05/2025 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250605084623
FACILITY NAME:DIAMOND RESIDENTIALFACILITY NUMBER:
455002792
ADMINISTRATOR:LEAK, RANDYFACILITY TYPE:
735
ADDRESS:16981 CATALINA WAYTELEPHONE:
(530) 200-0701
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:4CENSUS: 3DATE:
11/14/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Lejean Tenner, Care StaffTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff verbally abusing clients in care
Staff did not allow client to leave their room
INVESTIGATION FINDINGS:
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On November 14, 2025, Licensing Program Analysts (LPA) Kayla Adkison and Marisa Chiarelli arrived at the facility unannounced for the purpose of delivering complaint findings. LPA met with Care Staff, Lejean Tenner, and explained the purpose of the visit. There were one (1) staff, and two (2) clients present during the visit.

During the investigation, several documents were collected, interviews were conducted, and observations were made.

Continued on LIC 9099D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
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 3
Control Number 59-AS-20250605084623
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: DIAMOND RESIDENTIAL
FACILITY NUMBER: 455002792
VISIT DATE: 11/14/2025
NARRATIVE
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Allegation: Staff verbally abusing clients in care

It was alleged that a staff member (S1) had been telling a client (C1) that no other staff would care for C1 like S1 did. Further, S1 allegedly stated that C1 should not listen to other staff members, as they are neglecting C1 and did not have C1’s best interests in mind.

During interviews conducted, three (3) of three (3) staff members stated they had overheard S1 speak this way to C1, which in turn, caused C1 to exhibit “difficult behaviors when not getting their (C1’s) way.” Additionally, (2) two staff members submitted written letters stating that S1 had verbally threatened the clients by claiming if they did not “behave”, S1 would “send them all to their rooms and that S1 “yelled and cussed at clients, as well as belittling them.”

LPA interviewed C1 who corroborated the allegation by stating that all staff were disrespectful and neglectful to C1 and only S1 was “good staff.” C1 stated that since S1 had been terminated from the facility, clients would no longer be able to “have nice parties” and only S1 “really loved us.”

It should be noted that S1 is no longer employed by the facility.

Based on observations and interviews 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. Exit Interview conducted. A copy of this report and Appeal Rights were provided to Crystal Monismith, Administrator, via email.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20250605084623
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: DIAMOND RESIDENTIAL
FACILITY NUMBER: 455002792
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/17/2025
Section Cited
CCR
80072(a)(3)
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80072 Personal Rights (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This is evidenced by:
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S1 has since been terminated from this facility. Administrator shall submit a LIC 9098 certifying their understanding of the allegation by end of business on 11/17/2025.
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Based on observations and interviews conducted, the licensee did not ensure C1’s personal rights were not violated in that S1 mentally abused and/or coerced C1, which poses a potential health, safety or personal rights violation to clients in care.
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Type B
11/17/2025
Section Cited
CCR
80072(a)(7)
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80072 Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (7) Not to be locked in any room, building, or facility premises by day or night.
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Based on observations and interviews conducted, the licensee did not ensure C2’s personal rights were not violated in that S1 directed C2 to remain in their room without any documentation of a need to be quarantined, which poses a potential health, safety or personal rights violation to clients in care.
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POC: S1 has since been terminated from this facility. Administrator shall submit a LIC 9098 certifying their understanding of the allegation by end of business on 11/17/2025.
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: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3