336409176-1-16-2026-18-AS-CTUA-DQM28S-20260123161046

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336409176
Report Date: 01/16/2026
Date Signed: 01/16/2026 09:09:46 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, THE		FACILITY NUMBER:	336409176
ADMINISTRATOR:	TERRY RECORDS		FACILITY TYPE:	740
ADDRESS:	5801 SUN LAKES BLVD		TELEPHONE:	(951) 845-2220
CITY:	BANNING	STATE: CA	ZIP CODE:	92220
CAPACITY:	0	CENSUS: 0	DATE:	01/16/2026
		UNANNOUNCED	TIME BEGAN:	08:43 AM
MET WITH:	Not Available for Visit		TIME COMPLETED:	08:44 AM

ALLEGATION(S):

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Facility staff did not assist residents with planned activities
Facility staff do not provide educational activities

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.

“Facility staff do not provide educational activities.”

It was alleged that the facility was not providing educational activities to the residents and was providing “silly” games inappropriate for assisted living residents. Department staff conducted (5) resident interviews. (1) resident stated they did not like the types of activities provided and described them as “nursing home” activities, however no further information was provided. (2) residents interviewed stated they did not participate in activities due to mobility issues.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

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 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: 01/16/2026

NARRATIVE

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(2) residents interviewed stated the activities were okay, with some activities they did like and some they did not like. (2) staff interviewed stated the activities provided were education such as True or False, Brain Busters, Guess that Tune and Trivia games. Additional staff and resident interviews were unable to be conducted due to facility closure. Activity schedule and calendar revealed a variety of activities such as Fun Facts, Trivia, Left, Right, Center, Puzzles, Card Games, BINGO and live music. Therefore the based on interview and record review the allegation that facility activities were no education was found to be unsubstantiated.

“Facility staff did not assist residents with planned activities.”

It was alleged that residents were not encouraged or assisted to attend activities at the facility. The Department interviewed (2) staff members who revealed residents were aware of the activities being provided and were able to attend the activities. (1) staff stated they would send activity calendar and flyers to residents and go door to door to inform residents on the activities scheduled. However (1) staff interviewed revealed activities were not being held when staffing levels were low.

(5) facility residents were interviewed, which revealed (1) of (5) residents stated residents are not encouraged to attend the activities and when activities were scheduled they had to follow safety precautions such as socially distancing and wearing personal protective equipment. (3) of the (5) residents stated the facility was experiencing staffing shortages at this time, were informed on the activities by staff, and participated when they chose to.

Activity schedules and calendars were shared at the time the complaint was received showing activities were advertised to facility residents. Therefore, based on interview and record review the allegation that staff do not assist residents with planned activities is found to be unsubstantiated at this time. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. 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: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

LIC9099 (FAS) - (06/04)

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