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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455920100
Report Date: 08/22/2025
Date Signed: 08/22/2025 06:28:09 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
04/02/2025 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250402142649
FACILITY NAME:SAPPHIRE RESIDENTIALFACILITY NUMBER:
455920100
ADMINISTRATOR:LEAK, RANDYFACILITY TYPE:
735
ADDRESS:1208 COGGINS STREETTELEPHONE:
(530) 200-0701
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:4CENSUS: 3DATE:
08/22/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Phoenix Gutierrez, Direct Service ProviderTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not have required training
INVESTIGATION FINDINGS:
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On August 22, 2025, Licensing Program Analyst (LPA), Kayla Adkison, arrived at the facility unannounced for the purpose of delivering complaint findings. LPA was greeted at the door by Phoenix Gutierrez, Direct Service Provider, and explained the purpose of the visit. LPA further spoke with Administrator, Crystal Monismith, via telephone and explained the purpose of the visit. Administrator provided verbal approval for staff to sign for this report. During the visit, two (2) clients and three (3) staff were present in the facility.

Allegation - Staff do not have required training

It was alleged that staff do not have the required training to properly supervise and care for the clients residing at the facility. Between October 2024 and March 2025, there were approximately twenty calls for local law enforcement to respond to the facility for various issues and safety concerns. During one call, a staff member claimed to “not really know what they were doing with the residents” and reported to have very little training or assistance from management in doing their jobs

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

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
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-20250402142649
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: SAPPHIRE RESIDENTIAL
FACILITY NUMBER: 455920100
VISIT DATE: 08/22/2025
NARRATIVE
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On June 23, 2025, two additional complaints were received with similar circumstances and were added as additional information to support this allegation.
The first additional complaint alleged that on May 31, 2025; a resident of the facility engaged in a heated verbal altercation with a neighbor’s guests in the street. Staff attempted to redirect the client, however, were initially unsuccessful. The resident eventually returned to the facility with staff assistance.
The second additional complaint alleged that on June 17, 2025, at approximately 1:00 am, a resident of the facility was observed on a Ring doorbell camera attempting to open the front door of a neighboring residence multiple times. The resident was also observed, via video surveillance footage, to be sitting on the front porch of a separate neighboring residence the same night.

During the investigation, observations were made, interviews were conducted, and documents were received from the facility. Documents received included the LIC 500 with staff phone numbers, LIC 602 for (3) three clients, and training logs for all staff. Staff members were interviewed who collectively claimed they believed they were adequately trained to do their jobs successfully. However, LPA observed training logs provided by the facility which were insufficient to comply with Title 22 Regulations in that there was no documentation of hours spent on any of the topics provided, nor were there any certificates of completion provided.

Based on observation, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are being cited on the attached LIC 9099-D. Exit interview conducted and a copy of this report was provided to Crystal Monismith, Administrator, via email.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20250402142649
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: SAPPHIRE RESIDENTIAL
FACILITY NUMBER: 455920100
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/19/2025
Section Cited
CCR
80065(b)(2)
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80065 Personnel Requirements
(b) In addition to any other required training, the licensee or applicant shall provide 16 hours of training for each direct care staff, prior to staff being left alone with clients, which shall include at least the following: (2) Behavior management techniques of consumers lacking hazard awareness and impulse control
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Licensee/Administrator agrees to submit updated training logs documenting Title 22 required 16 hours and topics to LPA by end of business on September 19, 2025.
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Based on observation, interviews, and record review, the licensee did not comply with the section cited above as all training logs provided to the LPA did not document 16 hours of training, which poses a potential 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: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3