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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881250
Report Date: 04/17/2025
Date Signed: 04/17/2025 05:21:14 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
02/07/2025 and conducted by Evaluator Abdoulaye Zerbo
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250207101715
FACILITY NAME:HOME OF COMFORT LLCFACILITY NUMBER:
331881250
ADMINISTRATOR:VANESSA TAYLORFACILITY TYPE:
735
ADDRESS:26545 ROLAND ROADTELEPHONE:
(951) 987-6069
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:4CENSUS: 4DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Tasha HawkinsTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not prevent client from leaving the facility unassisted
INVESTIGATION FINDINGS:
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On 4-17-25, Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit to the facility to deliver finding on the complaint investigation. LPA Abdoulaye was greeted and granted entrance by Licensee Tasha Hawkins. LPA Abdoulaye Zerbo identified himself and discussed the purpose of the visit.
LPA Abdoulaye conducted a health and safety check by conducting tour of the facility. No immediate concerns were observed during the visit.
It was alleged Staff did not prevent client from leaving the facility unassisted. LPA interviewed staff and conducted records review. Based on the information provided, Staff 1 (S1) stated the court ordered virtual visits 15 minutes every Wednesday at 12:30PM with their mother, which seems to create an expectation of returning home, leading Resident (R1) to pack their belongings and leave the facility after each virtual visit .
Continued 9099 C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
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 18-AS-20250207101715
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: HOME OF COMFORT LLC
FACILITY NUMBER: 331881250
VISIT DATE: 04/17/2025
NARRATIVE
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 S1 also stated staff members follow R1, ensure their safety by staying close, keeping them out of the street, and bringing a wheelchair in case they become tired. LPA reviewed R1’s records and IPP stated a history of elopement.
Based on the evidence, the allegation mentioned above is UNSUBSTANTIATED. A finding that the complaint is 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, therefore the allegation is unsubstantiated at this time.
An exit interview was conducted where this report, LIC9099 was discussed and provided to Licensee Tasha Hawkins.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2