331881257-5-29-2026-18-AS-RORN-DUNR5A-20260602124249

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881257
Report Date: 05/29/2026
Date Signed: 05/29/2026 02:33:16 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
07/23/2024 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20240723160908

FACILITY NAME:	OSLO HOME		FACILITY NUMBER:	331881257
ADMINISTRATOR:	CLOYD, SHILOH		FACILITY TYPE:	735
ADDRESS:	3678 OSLO CT		TELEPHONE:	(619) 292-9299
CITY:	HEMET	STATE: CA	ZIP CODE:	92545
CAPACITY:	4	CENSUS: 1	DATE:	05/29/2026
		UNANNOUNCED	TIME BEGAN:	11:47 AM
MET WITH:	Ana Gonzalez		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff showed aggression toward a resident.
Staff are misusing resident’s funds.

INVESTIGATION FINDINGS:

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On May 29, 2026, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigations of the above allegations. The Department was met by Ana Gonzalez and reason for visit explained
The facility currently has 1 client in placement and 1 staff available at time of visit.
Investigation consisted of the following:
On August 7, 2024, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above. During the visit, it was determined that the complaint required further investigation.
On May 29, 2026, the department conducted an unannounced visit to continue investigation of above allegations. The department obtained the following documentation: Staff roster (dated 8/7/24), Staff training sign in sheet on clients rights (5/1/24, 5/8/23, 5/7/23), P&I log. On May 28, 2026, the department conducted Administrator interview (A1), 1 staff interview (S1), 1 client interview (C2).

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026

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-20240723160908

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: OSLO HOME	FACILITY NUMBER: 331881257
	VISIT DATE: 05/29/2026

NARRATIVE

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The investigation revealed the following

Allegation: Staff showed aggression toward a resident.

The detail of the complaint alleges that S1 “put his hands up in a threatening manner” towards C1 resulting in C1 feeling scared.

On May 29, 2026, the Department interviewed the Administrator (A1), who denied the allegation and stated that there have been no reports of staff showing aggression toward any clients. A1 reported that all staff have completed client rights training and maintain current CPI certification, confirming they are trained not to use aggression when interacting with clients.

On May 29, 2026, the Department interviewed one staff member (S1), who also denied the allegation. S1 stated she has never acted aggressively or raised her hands toward any client. She explained that C1 is often the one displaying aggression and recalled an incident in which C1 approached her personal space in an aggressive manner while she was cleaning. S1 added that she has completed client rights training, which is updated annually.

On May 29, 2026, the Department interviewed one client (C2), as C1 no longer resides at the facility. C2 reported that staff have never been aggressive toward her and that she has not witnessed staff being aggressive toward other clients. C2 stated she feels safe and well cared for in the home. C2 also corroborated S1’s account that C1 is typically the aggressor in the household.

On May 29, 2026, the Department observed staff-client interactions. Staff were attentive to the client and communicated respectfully.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20240723160908

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: OSLO HOME	FACILITY NUMBER: 331881257
	VISIT DATE: 05/29/2026

NARRATIVE

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Allegation: Staff are misusing resident’s funds.

The detail of the complaint alleges that S1 uses Clients’ P&I funds to purchase hygiene products instead of providing the clients with hygiene products purchased by the facility.

On May 29, 2026, the Department interviewed the Administrator (A1), who denied the allegation and stated that the facility provides all hygiene products to clients. A1 confirmed that clients’ P&I funds are never used to purchase hygiene items. A1 further explained that if a client prefers a specific brand or needs something beyond the basic products provided, the facility will purchase it upon request. According to A1, there is no issue obtaining a client’s preferred hygiene products.

On May 29, 2026, the Department reviewed the client's P&I log and observed no discrepancies.

On May 29, 2026, the Department interviewed 1 client (C2) who stated that she receives her P&I funds and that the facility provide all the hygiene products.

Exit interview conducted with Ana Gonzalez. No deficiencies cited during today’s visit. Copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026

LIC9099 (FAS) - (06/04)

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