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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800167
Report Date: 02/27/2024
Date Signed: 02/27/2024 10:31:46 AM

Unfounded


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
02/21/2024 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240221133252
FACILITY NAME:DULCE VILLA IFACILITY NUMBER:
331800167
ADMINISTRATOR:MODY, NIKULFACILITY TYPE:
740
ADDRESS:66147 S AGUA DULCE DRTELEPHONE:
(760) 251-7842
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY:6CENSUS: 4DATE:
02/27/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lorena Guillan - Facility ManagerTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility has a bed bug infestation
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced in order to initiate an investigation of a complaint with the above allegation(s). LPA identified herself and discussed the purpose of the visit and the elements of the allegation(s) with Facility Manager Lorena Guillan. Below is a summary of the complaint investigation findings:

Regarding allegation "Facility has a bed bug infestation": LPA Colvin conducted interviews with staff and resident(s) and toured the facility during today's inspection. LPA Colvin observed that the resident (R1) mentioned in the complaint does not live at this location, and instead resides at a sister facility, Dulce Villa II (#331800168). Additionally, LPA Colvin did not observe any evidence of bed bugs at this location and interviews conducted do not support the allegation for this facility. Therefore, the allegation of "Facility has a bed bug infestation" is UNFOUNDED. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted with Lorena Guillan and report provided.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Rikesha StampsTELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
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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