336403516-3-24-2022-18-AS-JESL-CFWS3M-20220701133122

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403516
Report Date: 03/24/2022
Date Signed: 03/24/2022 04:17:32 PM

Unfounded

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
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/16/2022 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220316094935

FACILITY NAME:	SUN CITY GARDENS		FACILITY NUMBER:	336403516
ADMINISTRATOR:	BITUIN D GARCIA		FACILITY TYPE:	740
ADDRESS:	28500 BRADLEY ROAD		TELEPHONE:	(951) 679-2391
CITY:	SUN CITY	STATE: CA	ZIP CODE:	92586
CAPACITY:	74	CENSUS: 41	DATE:	03/24/2022
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Bituin Garcia, Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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9

Staff member handled resident in a rough manner.

INVESTIGATION FINDINGS:

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On 3/24/2022 Licensing Program Analyst (LPA), Javina George conducted an unannounced visit to the facility to commence a complaint investigation and to deliver findings for the allegation listed above. LPA met with Administrator Bituin Garcia whom was advised of the purpose of the visit.
Upon meeting with Administrator Bituin, LPA provided the name of the resident and was informed that resident # 1 (R1) identified in the allegation, does not reside in this facility. However, R1 was identified as a resident on the independent living side, which is not licensed by CCL. LPA requested a copy of the facility roster from both assisted living and the independent side. LPA reviewed both rosters which revealed that R1 is a resident on the independent living side.
Based on interviews and record review, the allegation of Staff member handled resident in a rough manner, is UNFOUNDED. Unfounded meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted and a copy of this report was provided to Administrator Bituin Garcia.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

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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