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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 525920064
Report Date: 05/20/2025
Date Signed: 05/20/2025 10:10:13 AM

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
03/24/2025 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 59-AS-20250324134212
FACILITY NAME:MASON'S RESIDENTIAL HOMES INC #1FACILITY NUMBER:
525920064
ADMINISTRATOR:MASON, GAILFACILITY TYPE:
735
ADDRESS:1460 KIMBALL RDTELEPHONE:
(530) 527-9507
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:4CENSUS: 4DATE:
05/20/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Gail Mason - administratorTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Resident not accorded dignity. - UNSUBSTANTIATED
INVESTIGATION FINDINGS:
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05/20/2025 09:30 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with administrator Gail Mason. The purpose of this visit was to deliver the results of a complaint investigation.

During the course of the investigation LPA interviewed the client, administrator and service coordinator.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025
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-20250324134212
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 #1
FACILITY NUMBER: 525920064
VISIT DATE: 05/20/2025
NARRATIVE
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Resident not accorded dignity. - UNSUBSTANTIATED

It was reported that a client in the facility feels they are being ignored by the administrator because the client told them they feel intimidated by them.

During the course of the investigation, it was learned that a Far Northern Regional Center service coordinator was meeting with another client at the facility and Client 1 (C1) asked to talk. C1 stated that the administrator intimidates them and C1 doesn’t feel like they can talk with the administrator. Based on C1’s expressed anxiety toward the administrator, the administrator decided to step back from C1 and a second administrator provided C1 with support during this time.

Client 1 (C1) has lived at the facility for many years. C1 has expressed that they would like to move out to live independently and the service coordinator and administrator have been working with C1 to safely make that transition. C1 has expressed frustration that they cannot stay with an acquaintance for a longer period of time because the facility wants C1 to come back home after the visits during which C1 can stay away for days at a time. The administrator supports C1 when they visit their acquaintance by providing healthy food to take with them and transportation to and from the visits.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation 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: 05/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025
LIC9099 (FAS) - (06/04)
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