525002790-11-18-2025-59-AS-LCRR-DPQSTW-20251226131014

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 525002790
Report Date: 11/18/2025
Date Signed: 11/18/2025 02:31:19 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
10/08/2025 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20251008103658

FACILITY NAME:	SERENITY RESIDENTIAL		FACILITY NUMBER:	525002790
ADMINISTRATOR:	PHELPS, ASHLEY		FACILITY TYPE:	735
ADDRESS:	925 FRANKLIN ST		TELEPHONE:	(530) 200-2909
CITY:	RED BLUFF	STATE: CA	ZIP CODE:	96080
CAPACITY:	4	CENSUS: 4	DATE:	11/18/2025
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Collin Harris - administrator		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Staff pressured resident for sexual favors. - UNSUBSTANTIATED

INVESTIGATION FINDINGS:

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11/18/2025 02:00 PM Licensing Program Analyst (LPAs) Rebecca Knight and Marissa Chiarelli arrived at the facility unannounced to deliver the results of a complaint investigation. LPA met with administrator Collin Harrisand explained the purpose of the visit.

During the course of the investigation LPA conducted interviews and inspected the facility. LPA reviewed copies of the following documents: Needs & Services Plan, Physicians Report, Admission Agreement, IPP, conservator documentation, written statement for one client, staff list with telephone numbers.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20251008103658

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: SERENITY RESIDENTIAL	FACILITY NUMBER: 525002790
	VISIT DATE: 11/18/2025

NARRATIVE

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Staff pressured resident for sexual favors. - UNSUBSTANTIATED

It was reported that a client’s home staff pressured them for sexual favors.

LPA reviewed an incident report which states on 10/06/2025 C1 started pacing to and from their room and told staff they were going to open their window to get fresh air. C1 then immediately came right back out and told staff again that they were going to open their window to get fresh air and shut their door. With this out of normal behavior staff stepped out back to see if C1 was going to elope and found C2 trying to climb through C1’s window with a full backpack of items. C2 immediately climbed down and told staff sorry then grabbed their full backpack and left. Staff called the administrator right away and the administrator came to the facility and spoke with C1 who was upset that C2 got caught by staff in C1’s window. Before dinner C1 called C2 and was whispering over the phone then went right to bed.

LPA reviewed a second incident report dated 10/07/2025 which reports at 1:00 pm C1’s program called the administrator and reported C1 attempted to elope from program with C2. Program staff asked the administrator to pick C1 up because C1 was refusing to ride the program bus home. C1 then accused home staff of sexual assault. After returning home C1 admitted they were not telling the truth and accused the staff of sexual assault because the staff had caught C2 trying to break into the house the day before. C1 admitted this in front of two staff and their service coordinator.

LPA reviewed a handwritten note which states that C1 lied about the allegation against staff and apologized, this document is signed by C1. LPA reviewed conservatorship documents for C1.

Staff interviews revealed that C1 is known to lie when they get caught doing anything wrong and C1 was upset that they got in trouble.

Service coordinator stated that C1 told them they had lied because they were mad at the staff because the staff had caught C2 sneaking into C1’s bedroom window.

Continued on LIC9099-C

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 59-AS-20251008103658

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: SERENITY RESIDENTIAL	FACILITY NUMBER: 525002790
	VISIT DATE: 11/18/2025

NARRATIVE

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Administrator stated the staff that was on duty when C2 was caught climbing into C1’s bedroom window was the staff that was accused. When S1 caught C2 they asked C2 to leave and called the administrator. On the same day that C1 accused S1, C1 admitted they only said it because they were mad at S1 for catching C2. The next day C1 started accusing again at their day program. C1 admitted the only reason they accused the staff was so they can move out with C2.

This agency has investigated the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are UNSUBSTANTIATED. No deficiency cited. Exit interview conducted and a copy of the report was provided to administrator Collin Harris.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025

LIC9099 (FAS) - (06/04)

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