455920100-2-18-2026-59-AS-LCRR-DRP379-20260226165931

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455920100
Report Date: 02/18/2026
Date Signed: 02/18/2026 02:51:27 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
12/01/2025 and conducted by Evaluator Marisa Chiarelli

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20251201192710

FACILITY NAME:	SAPPHIRE RESIDENTIAL		FACILITY NUMBER:	455920100
ADMINISTRATOR:	MONISMITH, CRYSTAL		FACILITY TYPE:	735
ADDRESS:	1208 COGGINS STREET		TELEPHONE:	(530) 200-0701
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	4	CENSUS:	DATE:	02/18/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Crystal Monismith adminstrator		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not providing adequate supervision to residents in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 02/18/2026, Marisa Chiarelli, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 12/01/25. LPA Chiarelli met with Crystal Monismith, Administrator, and explained the purpose of the visit.

During the interview process, four staff persons and two residents were interviewed. The following documents were received and reviewed: staff list with telephone numbers and work schedule, client roster, client admission agreements, 602, medical records, MAR, plan of care, shift notes and incident reports.

Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

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 3

Control Number 59-AS-20251201192710

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: 02/18/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The administrator stated my staff has not reported that to me.
During staff interviews, S4 stated yes, R1 was having a behavior and was out in the front yard, when I checked on R1 he was in the vacant lot next door. S3 stated R2 went for a walk and came back 5 minutes later saying R1 is in someone’s back yard. Staff stated I went outside and witnessed R1 walking back from the dead end of the street on the sidewalk.

During the client interviews R2 stated yeah I was out for a walk and saw R1 walking out of the neighbor’s yard. When R1 was asked if they had left the property unassisted, R1 stated oh yeah, that was before. R1 stated I was just used to walking where I wanted and when I wanted, I could go anywhere. R1 stated I have to get used to not going wherever I want by myself.

Review of a video recording on 11-29-25 recorded R1 north of the facility property at the end of the cul-de-sac on the vacant lot near the property line of the house on the East side of the vacant lot. In the recording S3 was walking towards R1 from the facility with R2. The recording recorded S3 stating R1 you get back to the house right now, you’re not supposed to be over here, you’re not allowed.

Record review revealed R1 and R2 are not able to leave the facility unassisted.

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 representative listed above and exit interview conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 59-AS-20251201192710

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: 02/18/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/04/2026 Section Cited CCR 80065(b)	1 2 3 4 5 6 7	80065 Personnel Requirements (a) In addition to Section 80065, the following shall apply. (b) The licensee shall employ staff as necessary to ensure provision of care and supervision to meet client needs.	1 2 3 4 5 6 7	Adminstrator will request for additional staffing. Adminstrator will have staff complete trainings regarding supervision expectations, behavior plans, safety.
	8 9 10 11 12 13 14	This was evidenced by: Based on interviews and review of records, the licensee/administrator did not meet the resident’s needs, due to a lack of staffing. Which poses an immediate risk to residents in care.	8 9 10 11 12 13 14	Responding to residents leaving at night and community and will submit proof of trainings to LPA by POC due date.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Marisa Chiarelli
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3