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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336409399
Report Date: 09/17/2025
Date Signed: 09/17/2025 02:44:03 PM

Unsubstantiated


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
10/25/2022 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20221025110109
FACILITY NAME:D & D HOME IIFACILITY NUMBER:
336409399
ADMINISTRATOR:DEBORAH LEEFACILITY TYPE:
735
ADDRESS:30894 WATSON ROADTELEPHONE:
(951) 926-6949
CITY:HOMELANDSTATE: CAZIP CODE:
92548
CAPACITY:6CENSUS: DATE:
09/17/2025
UNANNOUNCEDTIME BEGAN:
01:43 PM
MET WITH:Deborah Lee, AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff neglected to provide food to residents
INVESTIGATION FINDINGS:
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On September 17, 2025, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegations and to deliver findings. The Department was met by Administrator Deborah Lee and the purpose of the visit was explained.

Investigation consisted of the following:
On 11/1/22, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegations mentioned above. During the visit, the Department toured the facility, interviewed 2 staff (S1-S2), reviewed residents’ files, and collected pertinent documents. It was determined that the complaint required further investigation. The client’s are non-verbal and unable to answer any questions.

On 9/17/25, The Department obtained and reviewed the following documents: Staff roster (dated 8/1/25), resident roster (8/1/25 ), Incident Report.
Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
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-20221025110109
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: D & D HOME II
FACILITY NUMBER: 336409399
VISIT DATE: 09/17/2025
NARRATIVE
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Investigation revealed the following:

Allegation: Staff neglected to provide food to residents.

The detail of the complaint alleges that clients were deprived of food on the evening of 10/21/2022.

The interviews conducted by the Department on 11/1/22 reveal that during the evening of Thursday October 20, 2022, staff did not neglect to provide food to the clients, food service was delayed by approximately 1 ½ hours. According to the Administrator, dinner time is between 6pm and 7pm but that Thursday, the residents did not get their dinner till 8:30pm.

On 9/17/25, the Department spoke with Administrator who confirm what was said during the interview on 11/1/22 with nothing further to add.

On 9/17/25, the Department spoke with Placement Agency contact (W1) who stated that they have not investigated the alleged incident.

Based on interviews conducted, and documents reviewed, there is insufficient evidence to support the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC9099 (FAS) - (06/04)
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