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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336410195
Report Date: 12/20/2021
Date Signed: 12/20/2021 11:11:23 AM

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
09/30/2021 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210930084014
FACILITY NAME:HILLS OF ALCOBA, THEFACILITY NUMBER:
336410195
ADMINISTRATOR:ESTRELLA SAVARFACILITY TYPE:
740
ADDRESS:43707 ALCOBA DRIVETELEPHONE:
(951) 694-6779
CITY:TEMECULA,STATE: CAZIP CODE:
92592
CAPACITY:6CENSUS: 4DATE:
12/20/2021
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Sylvia Busby Administrator TIME COMPLETED:
11:20 AM
ALLEGATION(S):
1
2
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9
Staff member is having an inappropriate sexual relationship with a resident.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Javina George arrived at the facility unannounced to deliver findings for the allegation listed above. LPA met with Administrator Sylvia Busby and explained the purpose of the visit and element of the allegation.

The department investigated the claim of Staff member is having an inappropriate sexual relationship with a resident”. The investigation consisted of observation, interviews and a review of pertinent documentation. The department was unable to find sufficient evidence to support the accusation. There were not any witnesses of the incident. The alleged victim resident #1 (R1) denied being involved in a sexual relationship with staff. The accused staff member (S2), also denied being involved with any of the residents in a sexual relationship.

Additionally, the reporting party came forward and stated that they could not be sure that the incident happened. Therefore, the allegation of Staff member is having an inappropriate sexual relationship with a resident is UNFOUNDED. Meaning that the allegation was false, could not have happened and/or is without a reasonable basis. The department therefore dismisses the complaint.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina GeorgeTELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
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-20210930084014
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: HILLS OF ALCOBA, THE
FACILITY NUMBER: 336410195
VISIT DATE: 12/20/2021
NARRATIVE
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An exit interview was conducted, and a copy of this report was provided to Administrator Sylvia Busby.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina GeorgeTELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2