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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330909355
Report Date: 02/06/2026
Date Signed: 02/06/2026 12:17:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/10/2025 and conducted by Evaluator Hannah Rodgers
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20251210205027
FACILITY NAME:PEPPERMINT RIDGE - CYPRESS POINTFACILITY NUMBER:
330909355
ADMINISTRATOR:TERRAY DOTYFACILITY TYPE:
735
ADDRESS:632 MAGNOLIA AVENUETELEPHONE:
(951) 273-7342
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:6CENSUS: 5DATE:
02/06/2026
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Administrator Terray DotyTIME COMPLETED:
12:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide adequate supervision which led to clients touching each other inappropriately.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Administrator Terray Doty.

On December 10, 2025, it was alleged that staff did not provide adequate supervision which led to clients touching each other inappropriately. It was alleged that on the night of December 3, 2025, Client #1 (C1) touched Client #2 (C2) inappropriately under their clothes. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, client, and outside source interviews.

[Continued on LIC9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
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 56-AS-20251210205027
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: PEPPERMINT RIDGE - CYPRESS POINT
FACILITY NUMBER: 330909355
VISIT DATE: 02/06/2026
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
Review of C1’s Individual Program Plan (IPP) dated November 2, 2025 and C2’s IPP dated July 21, 2025, did not reveal that either client had a history of inappropriate behaviors. Furthermore, records reviewed revealed that the facility self submitted the alleged incident between C1 and C2 to the Department on December 8,2025. Interviews with clients provided conflicting statements as to the events that occurred on the night of December 3, 2025. Interviews with staff and outside sources did not reveal that there was inadequate supervision which resulted in the incident between C1 and C2.

Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that staff did not provide adequate supervision which led to clients touching each other inappropriately. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator Terray Doty, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2