331800156-1-13-2022-18-AS-CTUA-DRPRFV-20260227115946

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800156
Report Date: 01/13/2022
Date Signed: 01/13/2022 11:25:58 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/03/2022 and conducted by Evaluator Yolanda Delgado

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220103091332

FACILITY NAME:	BETTER DAYS MARIS		FACILITY NUMBER:	331800156
ADMINISTRATOR:	BELL, LESTER		FACILITY TYPE:	735
ADDRESS:	26789 MARIS COURT		TELEPHONE:	(951) 672-8216
CITY:	SUN CITY	STATE: CA	ZIP CODE:	92585
CAPACITY:	4	CENSUS: 3	DATE:	01/13/2022
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Cedric Williams, House Manager		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Resident not allowed to return to facility due to illness
Resident's authorized person was denied a copy of the Admission Agreement

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Yolanda Delgado arrived to the facility unannounced to conclude a complaint investigation into the allegations noted above. LPA met with House Manager Cedric Williams. House Manager contacted Administrator via telephone and LPA discussed the reason for the visit.
The investigation revealed that R1 was returned to the facility on January 3, 2022 at 2:00pm and the facility had R1 quarantined. R1's authorized person will be given a copy of the Admission agreement, it needs to be picked up. Rent was paid by check on January 3, 2022 to the facility. The issue has been resolved between both parties.

The above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. There were no deficiencies and no civil penalties that were cited per Title 22, Division 6, of the California Code or Regulations.
An exit interview was conducted with House Manager and a copy of this report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

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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