331800086-3-24-2026-18-AS-JDHS-DSNUWJ-20260330155650

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800086
Report Date: 03/24/2026
Date Signed: 03/24/2026 02:54:19 PM

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
10/30/2025 and conducted by Evaluator Armando Perez

COMPLAINT CONTROL NUMBER: 18-AS-20251030144849

FACILITY NAME:	CALIFORNIA HOME FOR THE ADULT DEAF (CHAD)		FACILITY NUMBER:	331800086
ADMINISTRATOR:	DANNY BARRETT		FACILITY TYPE:	740
ADDRESS:	3615 CROWELL AVE		TELEPHONE:	(626) 701-8960
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY:	6	CENSUS: 4	DATE:	03/24/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Caregiver, Carl Denney		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff physically abused resident resulting in fracture.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Caregiver, Carl Denney and explained both the purpose of the visit and the details of the allegation.

On October 30, 2025, the Community Care Licensing Division (CCLD) received a complaint alleging facility staff physically abused resident resulting in fracture. It was reported that on October 26, 2025, Resident 1 (R1) was transported to the hospital for back pain resulted by a physical assault caused by S1. Information obtained from an Interview with Administrator Danny Barrett denied any physical abuse and reported he was not at the facility on October 25 or 26, 2025. Interview with Staff 2 (S2) revealed that on October 25, 2025, S2 observed R1 lose their footing and assisted R1 before R1 fell to the floor. S2 noted they did not observe a change of condition or was advised of any issues or concerns by R1.
Continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20251030144849

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: CALIFORNIA HOME FOR THE ADULT DEAF (CHAD)	FACILITY NUMBER: 331800086
	VISIT DATE: 03/24/2026

NARRATIVE

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Interview with Staff 3 (S3) revealed that on October 26, 2025, they observed R1 acknowledging pain and subsequently contacted for medical assistance. Additional information could not be obtained by R1 due to their passing.

S3 denied any observation of physical abuse. Attempts were made to interview Additional Witness 2 (AW2) for additional information regarding the allegation above. AW2 did not respond to interview requests and therefore no additional details were obtained.

A review of medical records from Kaiser Permanente hospital, dated October 26, 2025, shows that at approximately 7:50 AM, R1 did not appear to be in any pain or distress. It was also stated that R1’s care plan was created and ordered the use of a brace for assistance. A review of Special Incident Reports submitted by the facility to the Community Care Licensing Division revealed that no records were available regarding R1’s fall or any related hospitalization.

Based on interviews, record reviews, and observations the allegations facility staff physically abused resident resulting in fracture has been deemed UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted. A copy of this report was provided to Caregiver, Carl Denney.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

LIC9099 (FAS) - (06/04)

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