331880590-4-23-2026-18-AS-RORN-DTKTVV-20260428150433

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880590
Report Date: 04/23/2026
Date Signed: 04/23/2026 03:40:56 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
10/13/2023 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20231013152114

FACILITY NAME:	HANDS THAT HELP LLC, THE		FACILITY NUMBER:	331880590
ADMINISTRATOR:	DAVIS, SHAWNIQUA		FACILITY TYPE:	735
ADDRESS:	4378 CHARLTON AVE		TELEPHONE:	(619) 723-9899
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	6	CENSUS: 3	DATE:	04/23/2026
		UNANNOUNCED	TIME BEGAN:	12:07 PM
MET WITH:	Shawniqua Davis		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Client in care sustained unexplained injuries

INVESTIGATION FINDINGS:

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On April 23, 2026, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegation and to deliver findings. The Department was met by Administrator Shawniqua Davis and the purpose of the visit was explained.

Investigation consisted of the following:
On October 20 2023, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above and it was determined that the complaint required further investigation.

On April 23, 2026, the Department conducted a facility tour with Administrator, obtained the following documents staff roster (dated: 1/8/26 ), client roster ( 11/20/25), Incident reports (dated: 10/10/23, 3/10/23, 11/3/22, 10/25/22, 8/23/22, 7/25/22 ), Admission Agreement, (dated: 2/17/21) copy of C1’s Physician’s reports (dated: 12/14/21, 3/12/22, 3/3/24,2/5/24, 2/4/24 ), C1’s Individual Program Plan (dated 5/31/23). The Department interviewed Administrator (A1) 2 staff (S1-S2), C1 no longer lives at the facility, the Department made attempt to interview the placement agency staff (W1).
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026

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-20231013152114

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: HANDS THAT HELP LLC, THE	FACILITY NUMBER: 331880590
	VISIT DATE: 04/23/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Client in care sustained unexplained injuries

The detail of the complaint alleges that C1 comes to day program with bruises frequently.

On April 23, 2026, at 1:49pm, the Department interviewed Administrator (A1) , who denied the allegation stating the injuries were likely due to a medical condition that the doctor is aware of. A1 further stated that C1 has a behavior of pulling out his G-tube/button that also caused tissue injury resulting in bruising. Additionally, A1 has submitted SIRs to the placement agency and the department regarding his bruising. Lastly, A1 has medical documentation indicating that she sought medical attention for the various incidents.

On April 23, 2026, between 2:30pm and 3:30pm, the Department interviewed 2 staff regarding the allegation. 2 out of 2 staff denied the allegation. 2 out of 2 staff only worked with C1 right before he left and did not notice bruising of any kind.

C1 no longer lives in facility as he required a hire level of care. C2 and C3 are non-verbal.

On April 23, 2026 the Department reviewed and evaluated the following documents: staff roster (dated: 1/8/26 ), client roster ( 11/20/25), Incident reports (dated: 10/10/23, 3/10/23, 11/3/22, 10/25/22, 8/23/22, 7/25/22 ), Admission Agreement, (dated: 2/17/21) copy of C1’s Physician’s reports (dated: 12/14/21, 3/12/22, 3/3/24,2/5/24, 2/4/24 ), C1’s Individual Program Plan (dated 5/31/23). The documentation show that the Administrator sought medical attention in timely manner and reporting requirements were met.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20231013152114

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: HANDS THAT HELP LLC, THE	FACILITY NUMBER: 331880590
	VISIT DATE: 04/23/2026

NARRATIVE

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Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with Shawniqua Davis.

There were no deficiencies cited during today’s visit. Copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026

LIC9099 (FAS) - (06/04)

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