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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881421
Report Date: 03/14/2025
Date Signed: 03/14/2025 03:32:16 PM

Substantiated


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
01/28/2025 and conducted by Evaluator Armando Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250128082056
FACILITY NAME:SMITH ROAD ASSISTED LIVINGFACILITY NUMBER:
331881421
ADMINISTRATOR:LECITA, MA SATCHELFACILITY TYPE:
740
ADDRESS:753 SMITH ROADTELEPHONE:
(951) 927-8178
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:12CENSUS: 9DATE:
03/14/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Administrator Ma. Satchel LecitaTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Licensee wrongfully refused to allow resident to enter the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Administrator, Ma Satchel Lecita, where LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and residents.
On January 28, 2024, Community Care Licensing received a complaint alleging that licensee wrongfully refused to allow resident to enter the facility. It was reported that on January 30, 2025, C1 was not allowed entrance into the facility after returning from a medical appointment. LPA conducted interview with Administrator, and it was revealed that Administrator refused C1 entrance into the facility and instructed C1 to contact their responsible party to pick C1 up. According to Administrator, C1 was banging on the front door and yelling explicit language towards staff. The actions of C1 caused the other residents to become agitated. Administrator also stated that law enforcement was contacted for additional assistance. Information obtained from interview with C1 stated that facility staff denied him access to the facility after his medical appointment.
Continued on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
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 7
Control Number 18-AS-20250128082056
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: SMITH ROAD ASSISTED LIVING
FACILITY NUMBER: 331881421
VISIT DATE: 03/14/2025
NARRATIVE
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Information obtained from a review of documentation corroborated that law enforcement was called to the facility to speak C1 and Administrator. Administrator then allowed C1 to enter the facility and law enforcement escorted C1 back into their room.

Based on client and staff interviews and the review of documentation, the allegation that Licensee refused to allow resident to enter the facility has been deemed as substantiated. A substantiated finding indicates the preponderance of the evidence standard has been met. This poses a potential health and safety risk to clients in care. The facility will be cited.

An exit interview was conducted. A copy of this report, along with a copy of the LIC9099D, LIC 811, and Appeal Rights were provided.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 18-AS-20250128082056
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: SMITH ROAD ASSISTED LIVING
FACILITY NUMBER: 331881421
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/24/2025
Section Cited
CCR
80072(a)(1)
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Personal Rights: Each client shall have personal rights which include, but are not limited to, the following:
1. To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not being met as evidenced by:
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The Administrator agreed to conduct personal rights training with staff. Documentation to be submitted to LPA by poc due date. Administrator agreed to send LPA.
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This requirement was not met as evidenced by:
Administrator refused C1 entrance into the facility. This poses an immediate health safety or personal rights risk to clients in care.
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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: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
01/28/2025 and conducted by Evaluator Armando Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250128082056

FACILITY NAME:SMITH ROAD ASSISTED LIVINGFACILITY NUMBER:
331881421
ADMINISTRATOR:LECITA, MA SATCHELFACILITY TYPE:
740
ADDRESS:753 SMITH ROADTELEPHONE:
(951) 927-8178
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:12CENSUS: 9DATE:
03/14/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Administrator Ma. Satchel LecitaTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Licensee is not following proper eviction protocols.
Licensee is not allowing Client to have visitors
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Administrator, Ma Satchel Lecita, where LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews and a review of documentation for a previous complaint investigation.

On January 28, 2024, Community Care Licensing received a complaint alleging Licensee is not following proper eviction protocols. It was reported that Licensee did not issue a valid eviction notice to Resident and that Licensee is not allowing Client to have visitors. This allegation was previously reported on January 15, 2025. The investigation findings for the complaint were deemed as substantiated for unlawful eviction. The facility was cited due to being in violation of Title 22 regulations. A plan of correction was submitted for the allegation. Due to the allegation regarding eviction protocols being previously investigated and cited, the current allegation is unfounded
Continued on 9099-C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Reyna Lacey
LICENSING EVALUATOR NAME: Jazmond D Harris
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 18-AS-20250128082056
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: SMITH ROAD ASSISTED LIVING
FACILITY NUMBER: 331881421
VISIT DATE: 03/14/2025
NARRATIVE
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For the allegation that Licensee is not allowing Client to have visitors, it was reported that C1 had their mother denied entrance for a visit. Information obtained from interview with Administrator denied the allegation. Administrator stated that there was an incident were Client’s visitor was knocking rudely on the facility door. Administrator stated when the door was open, the visitor bumped into a staff member who was leaving the facility. Administrator stated the visitor was still allowed to complete the visit. It was advised that the facility maintains a log of all visitors which includes additional details. Interview with Client corroborated the information. Client stated that staff had a verbal altercation with a visitor, but their visitor was still able to meet with Client. Interviews with additional clients and staff corroborated that all clients are allowed visit and no visitors have been turned away. LPA observed the facility did maintain a monthly log for visitors. No concerns regarding visits were advised.

Based on the evidence pertaining to the allegations of Licensee not following proper eviction protocols and Licensee not allowing Client to have visitors, the allegations are unfounded. A finding of unfounded indicates that the allegation is false, could not have happened, or is without a reasonable basis.

An exit interview was conducted where a copy of this report was provided to Administrator Ma Satchel Lecita.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 7
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
01/28/2025 and conducted by Evaluator Armando Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250128082056

FACILITY NAME:SMITH ROAD ASSISTED LIVINGFACILITY NUMBER:
331881421
ADMINISTRATOR:LECITA, MA SATCHELFACILITY TYPE:
740
ADDRESS:753 SMITH ROADTELEPHONE:
(951) 927-8178
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:12CENSUS: 9DATE:
03/14/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Administrator Ma. Satchel LecitaTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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2
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8
9
Staff are not meeting residents toileting needs
INVESTIGATION FINDINGS:
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This is an amended report.

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Administrator, Ma Satchel Lecita, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and residents, and a review of records.

On January 28, 2024, Community Care Licensing received a complaint alleging staff are not meeting resident’s toileting needs. It was reported staff are not changing Resident 1 (R1) for hours. An interview with the Administrator was completed. The Administrator reported R1 would yell at staff and deny staff entrance into their room.

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 18-AS-20250128082056
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: SMITH ROAD ASSISTED LIVING
FACILITY NUMBER: 331881421
VISIT DATE: 03/14/2025
NARRATIVE
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Continuation of Amended report LIC9099-A.

It was also reported that when staff would attempt to assist R1 with toileting needs, R1 would refuse assistance. Additional staff interviews were conducted, where 2 of 3 staff reported R1 is verbally abusive and does not allow staff to assist with toileting needs. An interview with R1 was conducted. R1 reported contradicting statements.



R1 initially reported staff did assist them with toileting but later in the interview they disclosed that staff do not assist them with toileting. LPA obtained facility records titled “Diaper Log”. This log documents staff assistance with toileting needs. The log is not specific to a resident but instead documents daily assistance. The log was reviewed for January 2025. The log documented R1 refused assistance with toileting a total of 18 times in that month. The log documented R1 accepted assistance with toileting a total of 15 times in that month.

Based on interviews and record reviews, the allegation facility staff do not assist with toileting needs is deemed unsubstantiated. A finding that the complaint is unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted. A copy of this report was provided to the Administrator, Ma Satchel Lecita.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC9099 (FAS) - (06/04)
Page: 7 of 7