335530266-7-2-2026-56-AS-NBRN-DW8VNB-20260722163453

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 335530266
Report Date: 07/02/2026
Date Signed: 07/02/2026 03:54:40 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
12/10/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20251210164932

FACILITY NAME:	LAKES, THE		FACILITY NUMBER:	335530266
ADMINISTRATOR:	MATSUSHITA, LORI		FACILITY TYPE:	740
ADDRESS:	5801 SUN LAKES BLVD		TELEPHONE:	(915) 845-2220
CITY:	BANNING	STATE: CA	ZIP CODE:	92220
CAPACITY:	276	CENSUS: 144	DATE:	07/02/2026
		UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Executive Director Cristina Ceballos		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Staff are financially exploiting residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to deliver findings on a complaint investigation regarding the above allegations. LPA met with Executive Director Cristina Ceballos and discussed the purpose of the visit.

Interviews with the Executive Director (ED) reveal the residents coordinate a holiday donation box that is placed in the lobby throughout the year to collect donations, at the end of the year all the money that was collected is distributed to all non salary staff in a form of a gift card. The ED is not aware of anything more, nor have they seen a memo on how the residents request donations. ED also informed LPA that the Residents Counsil have a bank account where all the donations are placed when given. The staff who do not pick up their holiday gift cards at the given deadline, the money is returned back to the resident council bank account.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

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 56-AS-20251210164932

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: LAKES, THE	FACILITY NUMBER: 335530266
	VISIT DATE: 07/02/2026

NARRATIVE

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LPA also interviewed an additional three (3) staff members whom state staff do not financially abuse residents, two (2) of these staff stated they are aware the residents collect money to distribute to staff, however the committee does the planning on their own.

LPA conducted four (4) resident interviews, all four have stated they have not seen, heard, or been victims of financial abuse. Three (3) of these residents have confirmed there is a donation box yearly with one stating “it’s a nice way to recognize and appreciate the staff for all their hard work.”

Based on observation, interviews, and pertinent documents the allegation is unsubstantiated. An Unsubstantiated complaint means, that 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.

An exit interview was conducted with Executive Director Cristina Ceballos and a copy of this report was provided at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

LIC9099 (FAS) - (06/04)

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