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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336409176
Report Date: 12/31/2025
Date Signed: 12/31/2025 10:18:26 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/02/2021 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210602093839
FACILITY NAME:LAKES, THEFACILITY NUMBER:
336409176
ADMINISTRATOR:TERRY RECORDSFACILITY TYPE:
740
ADDRESS:5801 SUN LAKES BLVDTELEPHONE:
(951) 845-2220
CITY:BANNINGSTATE: CAZIP CODE:
92220
CAPACITY:0CENSUS: 0DATE:
12/31/2025
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Not Available for VisitTIME COMPLETED:
10:02 AM
ALLEGATION(S):
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Residents were locked out of the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janira Arreola, investigated the above allegation. The facility has been closed since February of 2025, therefore an on site visit was unable to be conducted and facility representative was not available for report review. This report documents the investigation findings consisting of Department conducted interviews and record review.

"Residents were locked out of the facility."

It was alleged that residents including Resident #1 (R1) were locked out of the facility on 05/30/2021 for a period of around ten minutes. It was alleged no staff was available to let residents re enter the facility, and that another facility resident had to let R1 in. Attempts were made to obtain the names of staff and residents involved however none were able to be obtained at this time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
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 2
Control Number 18-AS-20210602093839
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: LAKES, THE
FACILITY NUMBER: 336409176
VISIT DATE: 12/31/2025
NARRATIVE
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Department staff conducted (5) resident interviews, including R1. R1 provided conflicting information on the allegation initially stating on 06/09/2021 that the allegation was true and they had been locked out for ten minutes. However, upon re-interviewing R1 on 07/02/2021, R1 denied knowing anything about the allegation and stated they had never been locked out of the facility. (3) additional resident interviews revealed residents have a key to re-enter the facility and had never been locked out or known of any residents that had been locked out.

No staff interviews were able to be conducted on the allegation due to facility closure.

Therefore, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was unable to be conducted, therefore a copy of this report was emailed and mailed to the last addresses on file.

SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2