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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881016
Report Date: 01/28/2022
Date Signed: 01/28/2022 02:32:26 PM

Substantiated


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
01/26/2022 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220126105203
FACILITY NAME:INFINITE LOVE & CARE HOMESFACILITY NUMBER:
331881016
ADMINISTRATOR:RAMOS, ERIKAFACILITY TYPE:
740
ADDRESS:37-859 KENNET ST.TELEPHONE:
(760) 625-9936
CITY:INDIOSTATE: CAZIP CODE:
92203
CAPACITY:6CENSUS: 4DATE:
01/28/2022
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Erika Ramos - Administrator/LicenseeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Some facility doors are not working properly.

Facility temperature is not within the regulated range.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unanounced in order to initiate an investigation of a complaint with the above allegation(s). LPA identified herself and discussed the purpose of the visit and the elements of the allegation(s) with Administrator/Licensee Erika Ramos. Below is a summary of the complaint investigation findings:

Regarding allegation "Some facility doors are not working properly": LPA Colvin contducted a partial tour of the facility during today's inspection and observed that the screen door for the back door of the facility, located in the kitchen, was difficult to open and close. LPA Colvin struggled closing the screen door, which the Licensee witnessed and stated " I just leave it like that (partially open). It's tricky". LPA Colvin attempted several times to slide the door completely shut, and was unsuccessful. Therefore, based on observations, the allegation "Some facility doors are not working properly." is SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
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 6
Control Number 18-AS-20220126105203
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: INFINITE LOVE & CARE HOMES
FACILITY NUMBER: 331881016
VISIT DATE: 01/28/2022
NARRATIVE
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Regarding allegation "Facility temperature is not within the regulated range": LPA Colvin conducted a partial tour of the facility and observed that the thermostat in the living room read at 71 degrees. According to Title 22 Regulations, the temperature should be no colder than 78 degrees. Licensee Erika informed LPA Colvin that the residents have heaters in their bedrooms and there is another small heater available for use in the living room. However, since the temperature on the thermostat in the living room was reading at 71, LPA Colvin sustained the findings. Therefore, based on observations, the allegation "Facility temperature is not within the regulated range." is SUBSTANTIATED.

A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met.

Due to observations made by LPA Colvin, the facility was cited and deficiencies noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy this report, LIC 9099D, and appeal rights were provided to Licensee/Administrator Erika Ramos during the exit interview.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 18-AS-20220126105203
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: INFINITE LOVE & CARE HOMES
FACILITY NUMBER: 331881016
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/11/2022
Section Cited
CCR
87303(a)
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Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met by:
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Licensee agrees to have screen door repaired or replaced so that residents can open and close the door without difficulty. Licensee may self-certify to LPA Colvin once complete. Self-certification to LPA Colvin due by Plan of Correction date of 2/11/22.
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Based on observations, the Licensee did not comply with the above regulation with at least one aspect of the facility's physical plant. LPA Colvin observed that the screen door for the back door of the facility was difficult to open and close, and failed trying to close it. This is a potential safety risk to residents.
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Type B
01/31/2022
Section Cited
CCR
87303(b)(2)
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Maintenance and Operation: (b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C)... This requirement was not met as evidenced by:
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Licensee agrees to immediately increase the tempurature to at least 78 degrees. LPA Colvin additionally reccomends for the Licensee to place a sign above the thermostat to remind staff that the tempurature must remain at least 78 degrees. Photo evidence of correction to be submitted to LPA Colvin by 1/31/22.
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Based on observations, the Licensee did not comply with the above regulation in at least one room. LPA Colvin observed that the thermostat in the living room read at 71 degrees F. This is a potential personal rights violation to all residents.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
01/26/2022 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220126105203

FACILITY NAME:INFINITE LOVE & CARE HOMESFACILITY NUMBER:
331881016
ADMINISTRATOR:RAMOS, ERIKAFACILITY TYPE:
740
ADDRESS:37-859 KENNET ST.TELEPHONE:
(760) 625-9936
CITY:INDIOSTATE: CAZIP CODE:
92203
CAPACITY:6CENSUS: 4DATE:
01/28/2022
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Erika Ramos - Administrator/LicenseeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility has broken dishes.

Faciity has mold.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unanounced in order to initiate an investigation of a complaint with the above allegation(s). LPA identified herself and discussed the purpose of the visit and the elements of the allegation(s) with Administrator/Licensee Erika Ramos. Below is a summary of the complaint investigation findings:

Regarding allegation "Facility has broken dishes.": During today's visit, LPA Colvin inspected the facility's supply of plates and other tablewear for the residents. LPA Colvin observed the dishes to be in good condition, other than one plate which had a small chip in it. A small chip (less than half an inch) does not constitute as a broken dish. LPA Colvin did not observe any other edvidence of broken dishes. Therefore, based on observations, the allegation "Facility has broken dishes." is UNSUBSTANTIATED.

Regarding allegation "Facility has mold": LPA Colvin conducted an inspection of the areas listed in the complaint as having mold (kitchen sink and refridgerator) thuroughly during today's visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 18-AS-20220126105203
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: INFINITE LOVE & CARE HOMES
FACILITY NUMBER: 331881016
VISIT DATE: 01/28/2022
NARRATIVE
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LPA Colvin did not observe any mold anywhere in the kitchen, and only could locate some dust in the windowsill. Therefore, based on observations, the allegation "Facility has mold." is UNSUBSTANTIATED.

A finding of UNSUBSTANTIATED means 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 with Licensee/Administrator Erika Ramos and a copy of this report was provided.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 6