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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 06:22:47 PM

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
05/20/2025 and conducted by Evaluator Kayla Adkison
COMPLAINT CONTROL NUMBER: 59-AS-20250520103549
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:
02:00 PM
MET WITH:Phoenix Gutierrez, Direct Service ProviderTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff made inappropriate comments towards resident
Staff are not treating client with dignity
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 made inappropriate comments towards resident

It was alleged that a staff member (S1) had been verbally harassing a client (C1) when that resident had voiced concerns to S1 about another client’s behavior.During the investigation process, interviews with additonal staff were conducted. Although staff did admit that the resident and the alleged perpetrator have disagreements periodically, no staff stated they observed the client being mistreated in any way. Staff claimed S1 would attempt to redirect or assist C1 with their concerns.

Report continued on LIc 9099-C
Unsubstantiated
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 2
Control Number 59-AS-20250520103549
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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Allegation: Staff are not treating client with dignity

It was further alleged that the S1 had not treated C1 with dignity when speaking to them. Staff further claimed they have not observed S1 not treating C1 with dignity. All staff interviewed stated S1 would attempt to use behavoral expresion training techniques to help C1 when they were upset or needed further assisitance.

Multiple attempts were made to contact C1 via telephone, however, no response was returned. LPA attempted to interview C1 at the facility, however, C1 was staying with a family member at the time of these attempts.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. A copy of this report was provided to administrator, 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)
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