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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002803
Report Date: 02/12/2026
Date Signed: 02/12/2026 11:30:20 AM

Unsubstantiated


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
12/08/2025 and conducted by Evaluator Ivan Avila
COMPLAINT CONTROL NUMBER: 59-AS-20251208093940
FACILITY NAME:RIDGEVIEW RESIDENTIAL CENTERFACILITY NUMBER:
455002803
ADMINISTRATOR:SMITH, JACQUELYNFACILITY TYPE:
735
ADDRESS:2096 CASCADES BLVD. SUITE BTELEPHONE:
(530) 768-1275
CITY:SHASTA LAKE CITYSTATE: CAZIP CODE:
96019
CAPACITY:16CENSUS: 12DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Todd HarrisTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff do not have planned activities for the clients
Staff are misusing residents funds
INVESTIGATION FINDINGS:
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On February 12, 2026, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegations directed by the Department. LPA Avila met with Administrator Todd Harris and explained the purpose of the visit.

During the investigation process, interviews and records review were initiated.

LPA investigated the allegation, “Staff do not have planned activities for the clients.” Residents reported that they participate in activities. Residents explained that staff offer a variety of group activities and are offered weekly. Staff explained that residents are encouraged to go on community outings when safe and appropriate.

-----Continued on LIC9099-C-----
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
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-20251208093940
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: RIDGEVIEW RESIDENTIAL CENTER
FACILITY NUMBER: 455002803
VISIT DATE: 02/12/2026
NARRATIVE
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LPA investigated the allegation, “Staff are misusing resident funds.” Residents reported that they have not had staff misuse their funds. Residents explained that they receive their money weekly and are free to spend their money when they receive it. Residents reported they have not experienced staff misusing resident funds or have heard staff withhold resident money.

Based on interviews conducted and record review, the preponderance of evidence standards has not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, and a copy of the report was provided.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Ivan Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2