<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336405884
Report Date: 10/07/2024
Date Signed: 10/07/2024 10:03:25 AM

Unfounded


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
10/01/2024 and conducted by Evaluator Stephanie Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20241001141358
FACILITY NAME:INTEGRATED CARE COMMUNITIES - A1FACILITY NUMBER:
336405884
ADMINISTRATOR:EMELY C. RODRIGUEZFACILITY TYPE:
740
ADDRESS:14265 NASON STREETTELEPHONE:
(951) 601-9100
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY:22CENSUS: 18DATE:
10/07/2024
UNANNOUNCEDTIME BEGAN:
08:33 AM
MET WITH:Emely Rodriguez, AdministratorTIME COMPLETED:
10:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into the above allegation. The LPA met with Administrator, Emely Rodriguez, and informed her of the purpose for the visit. A report was obtained by the Department alleging a resident in care was illegally evicted from the facility on or around 10/01/2024. The investigation included staff and resident interviews, records review, and collection of relevant documentation. A review of the facility's resident roster revealed no individual in care by the alleged resident's name. Two (2) of two (2) resident interviews reported no knowledge of the resident in question being in care. Neither resident had knowledge of a resident who was evicted from the facility. Three (3) of three (3) staff interviews reported no resident was in care by the alleged resident's name. Two (2) of two (2) staff members reported no resident has been evicted from the facility in the last several months. Administrator Rodriguez was interviewed and reported no individual has been evicted from the facility in the last few months. Therefore, based on interviews and records review, this allegation is deemed UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with Administrator Rodriguez; this report was reviewed, and a copy was provided.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Rikesha StampsTELEPHONE: (951) -212-0616
LICENSING EVALUATOR NAME: Stephanie MartinezTELEPHONE: (951) 204-5924
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2024
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 1