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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880546
Report Date: 03/08/2022
Date Signed: 03/08/2022 03:46:48 PM

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
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/02/2022 and conducted by Evaluator Jennifer Semin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220302081528
FACILITY NAME:ESTANCIA DEL SOLFACILITY NUMBER:
331880546
ADMINISTRATOR:LISA HUNTFACILITY TYPE:
740
ADDRESS:2489 CALIFORNIA AVETELEPHONE:
(951) 268-9697
CITY:CORONASTATE: CAZIP CODE:
92881
CAPACITY:135CENSUS: 107DATE:
03/08/2022
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Lisa HuntTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is rough with residents
Staff yells at residents
Staff pushes residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to initiate, investigation and deliver the findings for the above complaint allegations. LPA met with Administrator Lisa Hunt.
The investigation consisted of interviews with staff and residents. Regarding the first allegation, Staff is rough with residents. Facility Staff 1-6 (S1-6) deny ever being rough with any resident nor has any staff witnessed staff being rough with any resident. Resident 7 (R7) and Resident 8 (R8) stated staff are kind and gentle. Residents 1-6 (R1-6) were unable to corroborate or refute the allegation.
The second allegation, Staff yells at residents. Facility Staff 1-6 deny ever yelling at any resident nor has any staff ever heard staff yelling with any resident. R7 and R8 have never heard any staff yell at residents or other staff. R1-6 were unable to corroborate or refute the allegation.
The third allegation, Staff pushes residents. Facility Staff 1-6 deny ever pushing any resident nor has any staff ever witnessed staff pushing any resident. R7 and R8 have never seen staff push any resident. R1-6 were unable to corroborate or refute the allegation. S1 and S2 stated the facility has a zero-tolerance policy for abuse and neglect so any staff seen or heard doing this would be terminated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Jennifer SeminTELEPHONE: (951) 473-7024
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
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-20220302081528
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: ESTANCIA DEL SOL
FACILITY NUMBER: 331880546
VISIT DATE: 03/08/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based upon interviews and information gathered, and although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time.
An exit interview was conducted where this report was discussed and provided to Ms. Hunt
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Jennifer SeminTELEPHONE: (951) 473-7024
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2