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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880564
Report Date: 05/27/2026
Date Signed: 05/27/2026 11:42:54 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
05/23/2024 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240523123611
FACILITY NAME:PEYTON'S PLACE BEGONIAFACILITY NUMBER:
331880564
ADMINISTRATOR:CROW, PEYTON RANDALLFACILITY TYPE:
735
ADDRESS:35230 BEGONIA LNTELEPHONE:
(951) 257-4193
CITY:WINCHESTERSTATE: CAZIP CODE:
92596
CAPACITY:4CENSUS: 4DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Chris WarnerTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are not reporting incidents involving clients health and safety
Staff are not providing adequate care and supervision to the clients
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Chris Warner and explained the purpose of the visit regarding the allegations stated above.

First allegation: Staff are not reporting incidents involving clients’ health and safety. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that all incidents pertaining to clients are reported to the proper agency. LPA conducted a review of client’s records during the review of clients Individual Program Planning (IPP) LPA discovered that two out of four clients exhibit aggressive and physical behaviors. During the review of records LPA observed incident reports to be on file reporting clients’ behaviors. LPA collected incident reports and behavior reports. LPA conducted interviews with Staff #2, Staff #3, and Staff #4 regarding the alleged allegation, and all staff denied the allegation. Staff #2-4 informed LPA that all incidents involving each client get reported and are also logged in each client behavior report. Staff #1-4 informed LPA that there have not been any incidents that occurred at the facility involving client/client physical aggression.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
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 56-AS-20240523123611
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: PEYTON'S PLACE BEGONIA
FACILITY NUMBER: 331880564
VISIT DATE: 05/27/2026
NARRATIVE
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LPA conducted an over the phone interview with Client #2 responsible party regarding the alleged allegation, LPA was informed by Client #2 responsible party that the facility report all incidents or concerns that involve Client #2. In addition, Client #2 responsible party informed LPA that they have no concerns or issues to report concerning the health/and safety of the clients at the facility.

Second allegation: Staff are not providing adequate care and supervision to the clients. Regarding the allegation stated above, LPA conducted interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that currently the facility has full staff support to meet the needs and safety requirements of clients in care. At the time of the visit LPA observed three staff to be present. Staff #1 provided LPA with a staff roster. In addition, Staff #1informed LPA that Client #1 and Client #2 require a one-on-one. LPA conducted a review of client’s records during the review of clients Individual Program Planning (IPP) LPA discovered that two out of four clients require one-on-one supervision. During the review of records LPA observed on-on-one staff schedule for Client#1 and Client #2 to be available. LPA conducted interview with Staff #2-4 regarding the alleged allegation and Staff #2-4 denied the allegation and informed LPA that the facility has enough care staff to provide care and supervision. In addition, Staff #2-4 informed LPA that Client #1 and Client #2 have care staff that provide one-on-one support and supervision. During the interview LPA observed Client #2 to have one-on-one staff support. Based on corroborating evidence LPA has determined that the above allegation is Unsubstantiated, meaning that 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.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Chris Warner.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2