331800484-5-4-2026-18-AS-APEZ-DTVTEF-20260508143948

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800484
Report Date: 05/04/2026
Date Signed: 05/04/2026 02:28:36 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
11/19/2024 and conducted by Evaluator Seo Jeon

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20241119205843

FACILITY NAME:	VIA GENOA		FACILITY NUMBER:	331800484
ADMINISTRATOR:	CORONA, PAULINA M		FACILITY TYPE:	735
ADDRESS:	47018 VIA GENOA		TELEPHONE:	(442) 324-0287
CITY:	INDIO	STATE: CA	ZIP CODE:	92201
CAPACITY:	4	CENSUS: 4	DATE:	05/04/2026
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Paulina Corona, Administrator		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff did not prevent an altercation between residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Paulina Corona, Administrator, and informed them of the purpose of the LPA's visit. The Department’s investigation involved interviews with staff and clients and review of records.

On November 19, 2024, Community Care Licensing (The Department) received a complaint report with the following allegation.

It was alleged that staff did not prevent an altercation between residents in care. Information received indicated that Client #1 (C1) was observed with an unexplainted scratch mark next to their eye and another scratch mark on their wrist from a physical altercation with Client #2 (C2). LPA conducted an interview with the Administrator who stated that the incident occurred inside the facility's transportation van on the way to the clients' day program. Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

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-20241119205843

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: VIA GENOA	FACILITY NUMBER: 331800484
	VISIT DATE: 05/04/2026

NARRATIVE

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The Administrator stated that none of their four (4) clients were on one-on-one care plan. The Administrator stated that C2 suddenly scratched C1 inside the transportation van while the van was on the road. The driver of the van immediately pulled over and redirected both clients, returned to the facility to drop off C2 and proceeded to take the rest of the clients to their day program. LPA conducted an interview with the facility van driver who confirmed the Administrator's statement. LPA conducted an interview with Client #3 (C3), who witnessed the incident, also confirmed the Administrator's statement. LPA's attempted interviews with C1 and C2 were unsuccessful due to their verbal communication abilities. LPA's records review revealed that none of the four (4) clients were on one-on-one care.

Based on interviews conducted and records review, the Department's investigation did not provide enough information to corroborate the allegation that staff did not prevent an altercation between residents in care. This allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the 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: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

LIC9099 (FAS) - (06/04)

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