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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610239
Report Date: 05/18/2026
Date Signed: 05/18/2026 12:03:13 PM

Unsubstantiated


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
09/26/2025 and conducted by Evaluator Raymond Comer
COMPLAINT CONTROL NUMBER: 31-AS-20250926134645
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:
05/18/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Paulette James- House SupervisorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff mismanaged resident's medications.
INVESTIGATION FINDINGS:
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On Monday, 5/18/26, Licensing Program Analyst, (LPA) Ray Comer, arrived to conduct a subsequent visit to complete investigation, and deliver final report of the above noted allegation. LPA met with the Houe Supervisor, presented official CDSS badge identification, and disclosed the reason for the visit.
During initial visit conducted on 10/03/25, LPA spoke with facility staff and discussed client #1 (C1’s) medication assistance. At 1:35 pm, LPA Comer spoke with facility clients including C1. LPA Comer reviewed facility records, previously requested and received via e-mail. Records included but are not limited to C1’s physician report, individual care plan, and and doculments relevent to the investigation.

Allegation: Staff mismanaged resident's medications. It was reported that facility client #1 (C1) was not getting their medications on time.

[LIC9099C] Continued-
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
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 31-AS-20250926134645
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: 05/18/2026
NARRATIVE
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Staff revealed that per C1's Primary Care Physician (PCP) C1 has the capacity to store and administer their own medications, as prescribed. Staff indicated that they prepare all clients’ mediations around the same time and dispense them in order. However, per Staff, C1 is allowed to keep her own meds in a lock box in their room. C1 was unable to provide specific incidents to verify that their medications were missing or were that staff neglected to provide C1 medications for an extensive period of time. Other clients did not address any concerns regarding their medication management.

A review of C1’s file, including medication administration records, did not provide verifiable information to support the allegation. Therefore, based on interviews and record review, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview was conducted, and a copy of report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2