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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881049
Report Date: 01/16/2025
Date Signed: 01/16/2025 01:06:11 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
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2022 and conducted by Evaluator Javier Prieto
COMPLAINT CONTROL NUMBER: 56-AS-20220520095650
FACILITY NAME:RIGHT AT HOMEFACILITY NUMBER:
331881049
ADMINISTRATOR:RUSH, LENAFACILITY TYPE:
735
ADDRESS:861 W. CRESTVIEW ST.TELEPHONE:
(562) 900-3109
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:4CENSUS: 4DATE:
01/16/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Sheena Humphrey, Facility ManagerTIME COMPLETED:
01:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff caused an injuries to a client while in care
Staff hit a client while in care
Staff spit on a client while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to concluded a complaint investigation regarding the above allegations. LPA Prieto met with Facility Manager Humphrey and explained the elements of the complaint.

Allegation #1, #2 and #3, - LPA interviewed with staff #1 (S1) and gathered documentation. This evidence could not corroborate any of the allegations made in this complaint. Documentation gathered revealed that any incident of an injury sustained at the facility, by staff, did not occur.

Interview with resident #1 (R1), concluded that R1 is treated with respect by staff at the facility and R1 is happy with her residence at the facility. LPA Prieto interviewed resident #2 (R2), who states that staff treats her with respect while at the facility.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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 56-AS-20220520095650
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
, CA 92507
FACILITY NAME: RIGHT AT HOME
FACILITY NUMBER: 331881049
VISIT DATE: 01/16/2025
NARRATIVE
1
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5
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7
8
9
10
11
12
13
14
15
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18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA Prieto interviewed Inland Regional Center (IRC) representative who states they have investigated the allegations made in this complaint, and could not corroborate that these incidents occurred.

Based on the information obtained there is not enough evidence that staff caused an injuries to a client while in care, staff hit a client while in care and staff spit on a client while in care. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Facility Manager Humphrey and a copy was left at the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2