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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800073
Report Date: 01/09/2026
Date Signed: 01/09/2026 11:31:41 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
07/14/2022 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220714165026
FACILITY NAME:VINEYARD PLACEFACILITY NUMBER:
331800073
ADMINISTRATOR:ARLENE CRAWFORDFACILITY TYPE:
740
ADDRESS:24325 WASHINGTON AVETELEPHONE:
(951) 387-8410
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:82CENSUS: 63DATE:
01/09/2026
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Angela Jackson, Community Relations DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility is not allowing resident to have visitors
Facility does not have sufficient staff to meet resident's needs
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Seo Jeon and Kyle Wellington conducted an unannounced visit to the facility to deliver findings of the above allegations. LPA met with Angela Jackson, Community Relations Director. The Department investigation involved interviews with staff and residents and review of records.

On 07-14-2022, Community Care Licensing (The Department) received a complaint report with the following allegations.

It was alleged the facility is not allowing resident to have visitors. Information received indicated staff allegedly denied visitors when there were two (2) or more Covid-19 cases in the facility. LPA’s record review revealed that Resident #1 (R1) was admitted in December 2021 and began receiving hospice care in June 2022. LPA’s interview with the Administrator revealed staff have never denied any visitation to any individuals, provided visitors completed the required symptoms questionnaire. Continued on LIC9099-C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
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 18-AS-20220714165026
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: VINEYARD PLACE
FACILITY NUMBER: 331800073
VISIT DATE: 01/09/2026
NARRATIVE
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. LPA’s interview with R1 confirmed R1 did not have any problem with having visitors. LPA interviewed two (2) other residents and their responsible parties, who were present at the time of LPA’s visit, and all affirmed that visitation had never been denied. LPA’s interview with the Administrator also confirmed staff had never denied any visitors for R1. LPA attempted to conduct interviews with seven (7) staff members who were employed at the facility in 2022. However, only one (1) staff member was available to participate in the LPA’s interview. That staff member corroborated the statements made by the Administrator, R1 and the other residents and their visitors. Based on interviews conducted and record review, this allegation is unsubstantiated.

It was alleged the facility does not have sufficient staff to meet resident’s needs. Information received indicated that R1 did not receive frequent visits from the care staff. LPA reviewed staffing records and conducted interviews, which revealed that each wing of the facility is staffed with three (3) caregivers and one (1) medication technician across all three shifts—day, evening, and night. LPA’s onsite observation confirmed the same staffing level. LPA conducted an interview with R1 who stated they never had any issues receiving care from the facility staff. LPA reviewed R1’s physician’s report, care plan, and hospice care plan and determined the facility was able to meet the needs of R1 with the observed staffing level. Furthermore, six (6) staff members and two (2) additional residents interviewed stated that staffing levels were sufficient to meet the residents’ needs. LPA attempted to conduct interviews with seven (7) staff members who were employed at the facility in 2022. However, only one (1) staff member was available to participate in the LPA’s interview. That staff member corroborated the statements made by R1 and the current staff members. Based on record review and interviews conducted, this allegation is unsubstantiated.

Based on LPA’s observation, record reviews, staff and resident interviews, the investigation did not reveal corroborating evidence to support the allegations that the facility is not allowing resident to have visitors, or the facility does not have sufficient staff to meet resident’s needs. Therefore, the allegations are determined to be Unsubstantiated. A finding of Unsubstantiated means that the allegation may have occurred or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted where a copy of this report was provided.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2