<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610239
Report Date: 10/22/2025
Date Signed: 10/22/2025 11:43:23 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/16/2025 and conducted by Evaluator Gina Saucedo
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20251016171937
FACILITY NAME:DIAMOND CARE FACILITYFACILITY NUMBER:
197610239
ADMINISTRATOR:WILDA TILLMANFACILITY TYPE:
735
ADDRESS:1632 AMARGOSA DR.TELEPHONE:
(661) 526-5371
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:4CENSUS: 4DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Paulette James, AdministratorTIME COMPLETED:
11:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not safeguard residents personal belongings.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/22/25, at 9:20am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Administrator, Paulette James. LPA explained the purpose of this visit was to gather information, interview staff and clients and deliver findings regarding this complaint.

On 10/22/25, at 9:25AM asked for the client and staff rosters. On 10/22/25, at 10:10AM, LPA conducted a physical tour.

LIC 9099-continued
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
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 3
Control Number 31-AS-20251016171937
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: DIAMOND CARE FACILITY
FACILITY NUMBER: 197610239
VISIT DATE: 10/22/2025
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
Regarding the allegation: Staff did not safeguard resident’s personal belongings. It is being alleged that several pieces of cheese were missing from the facility refrigerator that belonged to client #1 (C1). During LPA’s interview with C1, C1 stated, "that the facility does buy food including the same cheese they buy but because C1 eats a lot of cheese their mother also bought additional cheese for them, and they put it in a zip lock bag with their name written on it.” LPA interviewed four (4) staff that confirmed C1 does have cheese in the refrigerator along with the additional cheese that the facility has. Furthermore, two (2) staff members confirmed that C1’s cheese was mixed up/put together with the facility’s cheese when cleaning out the refrigerator, but the cheese was also returned to C1. C1 also confirmed that the cheese was returned back to them after the incident had happened. LPA obtained C1’s physician report and IPP-Individual Program Plan that does have documented that C1 eats cheese as part of C1’s special diet. LPA observed the refrigerator and saw that there was a zip lock bag of cheese with C1's name on it written with a marker. Therefore, based on the LPA's observations, staff and client interviews, the above allegation(s) above is SUBSTANTIATED at this time.



An exit interview was conducted, citation(s) were issued, and a copy of this report was given to the administrator with the appeals rights.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20251016171937
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: DIAMOND CARE FACILITY
FACILITY NUMBER: 197610239
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/05/2025
Section Cited
CCR
80026(e)
1
2
3
4
5
6
7
80026 Safeguards for Cash Resources, Personal Property, and Valuables of Residents (e) Cash resources, personal property, and valuables of clients shall be separate and intact...This requiement is not met by:
1
2
3
4
5
6
7
Licensee/Administrator shall make sure that C1's personal property is safeguarded.

POC was cleared at time of visit because C1 did receive their personal property reimbursed.
8
9
10
11
12
13
14
Based on the LPA's observations, staff and client interviews the licensee/administrator failed to ensure that C1's personal property was safeguarded. This posed a potential health and safety risk to residents in care.
8
9
10
11
12
13
14
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: Troy Agard
LICENSING EVALUATOR NAME: Gina Saucedo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3