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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336410274
Report Date: 10/31/2025
Date Signed: 10/31/2025 11:23:45 AM

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
06/09/2022 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 18-AS-20220609130937
FACILITY NAME:CHRISTMAS COTTAGEFACILITY NUMBER:
336410274
ADMINISTRATOR:VICTORIA J. SARSONFACILITY TYPE:
740
ADDRESS:320 S. SAN JACINTO STTELEPHONE:
(951) 765-1840
CITY:HEMETSTATE: CAZIP CODE:
92543
CAPACITY:0CENSUS: 0DATE:
10/31/2025
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:TIME COMPLETED:
11:30 PM
ALLEGATION(S):
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Resident sustained unexplained bruising while in care.
Resident is being handled in a rough manner while in care.
Resident is not being allowed to leave the facility while in care.
INVESTIGATION FINDINGS:
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On 10/31/2025, Licensing Program Analyst (LPA) Antonine Richard conducted a follow-up investigation to determine the findings.

The Investigation Consisted of the following:
On 06/13/2022, Licensing Program Analyst (LPA) Javina George conducted an unannounced visit to commence a complaint investigation of the above allegation(s). LPA met with Laura Suarez, the med tech manager, and explained the elements of the allegations. LPA conducted interviews, reviewed resident files, and obtained copies of pertinent documentation.


Report Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2025
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 3
Control Number 18-AS-20220609130937
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: CHRISTMAS COTTAGE
FACILITY NUMBER: 336410274
VISIT DATE: 10/31/2025
NARRATIVE
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Allegation #1: Resident sustained unexplained bruising while in care.

On 10/31/2025, Licensing Program Analyst (LPA) Antonine Richard conducted a follow-up investigation and attempted to interview the reporting party multiple times. However, the LPA was unable to interview the reporting party and was unable to leave a voice message. There were no residents available for interview, and no records were available for review. The residents' whereabouts are unknown, as no further information was available due to the facility's closure. The LPA was not able to locate all parties involved in the complaint. Therefore, the LPA was unable to conduct a comprehensive investigation.

Based on the limited information available, LPA Richard finds that although the allegation may have occurred or be valid, there is not a preponderance of evidence to prove whether the alleged violation did or did not occur; therefore, the allegation is unsubstantiated.

Allegation #2: Resident is being handled in a rough manner while in care.

On 10/31/2025, Licensing Program Analyst (LPA) Antonine Richard conducted a follow-up investigation and attempted to interview the reporting party multiple times. However, the LPA was unable to reach the reporting party and was unable to leave a voice message. There were no residents available for interviews, and no records were available for review. The residents' whereabouts are unknown, as no further information was provided due to the facility's closure.

Report Continued on LIC9099C

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20220609130937
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: CHRISTMAS COTTAGE
FACILITY NUMBER: 336410274
VISIT DATE: 10/31/2025
NARRATIVE
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The LPA was unable to locate all parties involved in the complaint. Therefore, the LPA was unable to conduct a comprehensive investigation.

Based on the limited information available, LPA Richard finds that although the allegation may have occurred or be valid, there is not a preponderance of evidence to prove whether the alleged violation did or did not occur; therefore, the allegation is unsubstantiated.

Allegation #3: Resident is not being allowed to leave the facility while in care.

On 10/31/2025, Licensing Program Analyst (LPA) Antonine Richard conducted a follow-up investigation and attempted to interview the reporting party multiple times. However, the LPA was unable to reach the reporting party and was unable to leave a voice message. There were no residents available for interviews, and no records were available for review. The residents' whereabouts are unknown, as no further information was provided due to the facility's closure. The LPA was unable to locate all parties involved in the complaint. Therefore, the LPA was unable to conduct a comprehensive investigation.

Based on the limited information available, LPA Richard finds that although the allegation may have occurred or be valid, there is not a preponderance of evidence to prove whether the alleged violation did or did not occur; therefore, the allegation is unsubstantiated.

The facility is closed on 06/09/2023. No deficiencies were cited.

A copy of this report will be mail to the last known address: 64913 Saragossa Drive Palm Springs CA 92264.

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3