525920029-1-26-2026-59-AS-LCRR-DQTV6R-20260130150959

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 525920029
Report Date: 01/26/2026
Date Signed: 01/26/2026 12:56:38 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
10/28/2025 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20251028141400

FACILITY NAME:	MASON'S RESIDENTIAL HOMES INC. #3		FACILITY NUMBER:	525920029
ADMINISTRATOR:	MASON, GAIL		FACILITY TYPE:	735
ADDRESS:	125 TRENT LANE		TELEPHONE:	(530) 200-1745
CITY:	RED BLUFF	STATE: CA	ZIP CODE:	96080
CAPACITY:	4	CENSUS: 3	DATE:	01/26/2026
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Gail Mason - administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff threw an object at a resident. - UNSUBSTANTIATED
Staff and / or visitors spoke inappropriately to residents.- UNSUBSTANTIATED

INVESTIGATION FINDINGS:

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01/26/2026 12:30 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to deliver the results of a complaint investigation. LPA met with administrator Gail Mason and explained the purpose of the visit.

During the course of the investigation LPA conducted interviews and reviewed the following documents: IPP, LIC602 Physician’s Report, for 4 clients, 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: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

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-20251028141400

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: MASON'S RESIDENTIAL HOMES INC. #3	FACILITY NUMBER: 525920029
	VISIT DATE: 01/26/2026

NARRATIVE

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Staff threw an object at a resident. - UNSUBSTANTIATED

It was reported that staff threw an un-popped bag of popcorn at a client's face.

During client interviews it was learned that clients have not witnessed staff throw anything at any client.

Staff interviewed have never witnessed any staff throw anything at any client.

Administrator stated they have never thrown any object at a client.

This allegation is unsubstantiated.

Staff and / or visitors spoke inappropriately to residents. – UNSUBSTANTIATED

It was reported that staff curse at clients and visitors make fun of clients in care.

Client interviewed stated that staff do not curse at clients. When visitors come to the facility they are nice to the clients.

Staff interviewed have not witnessed staff or the administrator curse at clients nor have they witnessed visitors being disrespectful to clients.

Administrator stated they and their staff do not curse at the clients. When visitors are at the facility they are respectful of the clients.

This allegation is unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED.

No deficiencies cited. Exit interview conducted and a copy of the report was provided to administrator Gail Mason.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

LIC9099 (FAS) - (06/04)

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