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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880913
Report Date: 11/02/2022
Date Signed: 11/02/2022 01:26:51 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
10/26/2022 and conducted by Evaluator Janira Arreola
COMPLAINT CONTROL NUMBER: 18-AS-20221026124244
FACILITY NAME:SVS MURRIETA CCESFACILITY NUMBER:
331880913
ADMINISTRATOR:WHITAKER, LA RONDAFACILITY TYPE:
775
ADDRESS:39040 SKY CANYON DR SUITE 110TELEPHONE:
(626) 304-1074
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:45CENSUS: 36DATE:
11/02/2022
UNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:Program Directror, Ana GuttierezTIME COMPLETED:
01:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is out of ratio
Facility does not have adequate planned activities
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Janira Arreola made an unannounced visit to the facility in order to initate an investigation into complaint allegations listed above. LPA met with program director Ana Guttierez, who was informed of the purpose of the visit.

LPA documented observations, conducted interviews and collected documents as they pertasined to the allegations. Concerning allegation #1 "Facility is out of ratio" LPA observed that the fcaility was in the required ration of 1 to 8. LPA was informed by program director that the facility has clients that are independent and no client currently require a 1 to 1 ratio from Inland Regional Center. LPA also interviewed staff members and found that the facility has a 1 to 3 ratio which is on occasion 1 to 4. LPA found through interviews that the facility has (8) or (9) clients in a group with (2) staff member which meets the Title 22 regulations. Therefore this allegation was unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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 3
Control Number 18-AS-20221026124244
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
RIVERSIDE, CA 92507
FACILITY NAME: SVS MURRIETA CCES
FACILITY NUMBER: 331880913
VISIT DATE: 11/02/2022
NARRATIVE
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9
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32
Regarding allegation #2 "Facility does not have adequate planned activities" LPA conducted interviews with staff and found that activities are planned in advanced and receive approval from the case manager or program director. LPA found through interviews that the activities may change from day to day as a number of factors present themselves, such as staff call off, clients not showing up to the program, or a facility van not being available. LPA corroborated across staff interviews that staff are informed before clients arrive at the facility of any activity changes. LPA was given activity calendars for the facility, LPA also observed staff conducting activities at the facility. Therefore based on the information gathered it is found that the allegation is unsubstantiated.

A finding of unsubstantiated means that although the allegations are valid, the preponderance of the evidence standard has not been met.

No deficiencies were cited at the time of the visit.

An exit interview was conducted with the program director, Ana Guttierez in person , and the regional director, La Rhonda Whitaker over the phone. This report was reviewed and provided to both staff.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3