331880566-3-14-2023-18-AS-JESL-CT2UTT-20230622155226

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880566
Report Date: 03/14/2023
Date Signed: 03/14/2023 02:57:22 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
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/06/2023 and conducted by Evaluator Janira Arreola

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230306162606

FACILITY NAME:	FIRST CHOICE SENIOR LIVING		FACILITY NUMBER:	331880566
ADMINISTRATOR:	RECINTO, MONTANO O		FACILITY TYPE:	740
ADDRESS:	34796 MYOPORUM LN		TELEPHONE:	(951) 599-4305
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92563
CAPACITY:	6	CENSUS: 6	DATE:	03/14/2023
		UNANNOUNCED	TIME BEGAN:	01:53 PM
MET WITH:	Licensee, Montana Recinto		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Uncleared staff working at the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with licensee, MontanoRecinto, who was informed of the purpose of the visit.

During the visit, LPA conducted interviews, documented observations, and conducted records reviews. It was alleged that the staff at the facility do not have a fingerprint clearance with the department. LPA took down names of staff on duty during the visit, as well as reviewed the facility’s LIC500 Personnel report and Guardian Roster. LPA noted that all staff have been accounted for on the Guardian roster, and have documented background check with the department. Therefore, the allegation of "Uncleared staff working at the facility." is unsubstantiated. A finding of unsubstantiated means that although the allegation is valid, the proponderance of the evidence standard has not been met.

An exit interview was conducted where this report was reviewed and provided to licensee, Montano Recinto.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janira Arreola	TELEPHONE: 951-248-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023

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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