331881196-7-6-2026-18-AS-JDHS-DWDV8P-20260727161302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881196
Report Date: 07/06/2026
Date Signed: 07/06/2026 03:22:05 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
04/13/2023 and conducted by Evaluator Ivashia Wright

COMPLAINT CONTROL NUMBER: 18-AS-20230413131939

FACILITY NAME:	ALMA'S HOME CARE 1		FACILITY NUMBER:	331881196
ADMINISTRATOR:	NATIVIDAD, ALMA E.		FACILITY TYPE:	735
ADDRESS:	1901 EL NIDO AVENUE		TELEPHONE:	(318) 229-3108
CITY:	PERRIS	STATE: CA	ZIP CODE:	92571
CAPACITY:	4	CENSUS: 3	DATE:	07/06/2026
		UNANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Alma Natividad, Administrator		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Licensee is not allowing client to exercise
Licensee is not following plan of operation

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Ivashia Wright, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Ivashia met with Administrator Alma Natividad and explained the purpose of the visit.

On April 13, 2023 Community Care Licensing Division (CCLD) received a complaint alleging Licensee is not allowing client to exercise and Licensee is not following plan of operation. During the investigation, the LPA inspected the facility, reviewed C1's records, and conducted interviews with the administrator and staff. LPA was unable to contact C1’s Conservator to obtain additional information.

Regarding the allegation that Licensee is not allowing client to exercise, it was reported that Client 1 (C1) is required to have exercise.

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2026

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-20230413131939

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: ALMA'S HOME CARE 1	FACILITY NUMBER: 331881196
	VISIT DATE: 07/06/2026

NARRATIVE

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Interview with Licensee, Alma Natividad stated she made sure to follow physicians’ orders for C1 to exercise daily. It was also advised that C1 would walk the hallways and use the exercise bike daily. Information obtained from interviews with additional staff corroborated the information obtained from Administration. Additional interviews with staff revealed that the facility has exercise equipment readily available for clients use on the back patio.

Regarding the allegation that Licensee is not following plan of operation, It was reported that Licensee’s only outings are taking clients to the grocery store.

Interview with Licensee, Alma Natividad stated outings are based on clients interests and needs. The licensee reported clients take turns in choosing places to visit. Information obtained from interviews with clients stated that clients have the option of choosing where they would go. Information obtained from review of the facility program states each client shall be given the opportunity to participate in the planning of activities. In addition, the Licensee stated that clients have had outings to restaurants, museums, grocery stores and parks. Interviews with additional staff corroborated with the information obtained from the Licensee.

Based on staff interviews, facility records, C1's files and the lack of information from C1’s Conservator to support the allegations; the allegations that Licensee is not allowing client to exercise and that Licensee is not following plan of operation is deemed unsubstantiated. This means that although the allegations may have happened or are valid, the preponderance of evidence requirement has not been met to prove that the alleged violations did or did not occur.

An exit interview was conducted and a copy of this report and 9099c were reviewed and provided to Administrator Alma Natividad.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2026

LIC9099 (FAS) - (06/04)

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