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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881200
Report Date: 12/09/2024
Date Signed: 12/24/2024 09:53:39 AM

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
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/06/2024 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 56-AS-20241206101628
FACILITY NAME:RADIANT CARE FAMILY HOMEFACILITY NUMBER:
331881200
ADMINISTRATOR:ALVARADO, MATTHEWFACILITY TYPE:
735
ADDRESS:36674 TORREY PINES DRTELEPHONE:
(951) 267-1327
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY:4CENSUS: 4DATE:
12/09/2024
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Matthew Alvarado- AdministratorTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff did not ensure facility is kept free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate and deliver the findings for the above allegation. LPA Allen met with Matthew Alvarado, the Administrator, and explained the purpose of the visit.

The investigation consisted of interviews with staff members and Resident 2 (R2), as well as observations.

LPA was unable to interview Resident 1 (R1) as they were not at the facility during the visit. Staff members reported hearing about pests from others but have not personally seen any. Resident 2 (R2) confirmed seeing a pest in the past, but not recently. LPA observed that precautions have been taken in the home, and a professional pest control company will be contacted on 12/9/2024 to schedule an appointment for pest control services at the facility. Administrator Matthew has agreed to provide proof of the visit and invoice once it is completed.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2024
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 56-AS-20241206101628
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: RADIANT CARE FAMILY HOME
FACILITY NUMBER: 331881200
VISIT DATE: 12/09/2024
NARRATIVE
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Based on the interviews with the staff and resident the above allegation is found to be Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where this report LIC9099, LIC9099-C and LIC9099-D was discussed and provided to Matthew Alvarado- Administrator at the conclusion of the visit with appeal rights.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 56-AS-20241206101628
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: RADIANT CARE FAMILY HOME
FACILITY NUMBER: 331881200
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2024
Section Cited
CCR
80087(a)
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(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.(1) The licensee shall take measures to keep the facility free of flies and other insects/pest. The licensee stated there is a possibility pest are in the home.
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The administrator Matthew has agreed to schedule an appointment for pest control on 12/9/2024 and provide proof of service by the poc date of 12/16/2024.
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This requirement was not met as evidenced by: This poses a potential health and safety risk to clients in care.
and the administrator Matthew has agreed to schedule an appointment for pest control on 12/9/2024 and provide proof of service by the poc date of 12/16/2024.

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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.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3