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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880913
Report Date: 07/18/2023
Date Signed: 07/18/2023 10:39:43 AM

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
PUBLIC
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: 44DATE:
07/18/2023
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Administrator, Ana GutierrezTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Facility vehicle is not maintained in a safe condition.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced visit in order to follow up on a complaint investigation into the above allegations. LPA met with administrator, Ana Guttierez, who was informed of the purpose of the visit.

During the investigation LPA conducted interviews, documented observations and collected documentation for the allegation "Facility vehicle is not maintained in a safe condition.” LPA interviewed the administrator and staff who stated that the facility had (3) transportation vans 11/2/2022.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
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-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: 07/18/2023
NARRATIVE
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 Interviews confirmed that at the time the complaint was received, 11/2/2022 the facility had purchased (1) new van model year 2022. It was confirmed through interviews and documentation that the other (2) vans were 2018 and 2013 model years. LPA was provided with maintenance records for these vehicles and found that the facility was doing regular maintenance. Additionally LPA was given copies of staff accountability sheets where it was shown that the vehicle is checked by staff before and after a trip. It was alleged that the third facility van had an "unsafe" seat belt that would “choke” clients that was attached to the ceiling of the 2013 van. On 11/2/2022 LPA conducted a visit to the facility and was informed by administrator that this third van was currently in maintenance. LPA returned to the facility today 7/18/2023 and was informed by Administrator that the facility no longer has the 2018 and 2013 vehicles. LPA interviewed (5) staff and (4) clients regarding the safety of the facility vehicles. LPA found that (3) of the (5) staff stated they had no concerns about the safety of the vehicles. LPA found (4) out of (4) clients also stated they felt safe in facility vans and had no issues with the seat belts. Therefore, the allegation that the facility vehicles are unsafe is found to be unsubstantiated.

Findings that are unsubstantiated mean that although the allegation may be valid, the preponderance of the evidence standard has not been met. An exit interview was conducted where this report was reviewed and provided to administrator, Ana Guttierez.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2