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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423576
Report Date: 02/23/2026
Date Signed: 02/23/2026 02:20:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
01/26/2026 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20260126094644
FACILITY NAME:PEACEFUL LIVING #2FACILITY NUMBER:
336423576
ADMINISTRATOR:RUSH, JOEFACILITY TYPE:
735
ADDRESS:1112 PEACEFUL DRIVETELEPHONE:
(951) 531-8134
CITY:CORONASTATE: CAZIP CODE:
92880
CAPACITY:6CENSUS: 4DATE:
02/23/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Administrator Lena RushTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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9
Staff are falsifying documents
Staff do not have criminal record clearance
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the purpose of delievering findings for the above allegations. LPA met with Administrator Lena Rush and explained today's visit.

On 01/26/2026, the department received a complaint with allegation regarding staff falsifying documents. Per record review, LPA observed facility staff schedule to match facility staff working at the facility. Additionally, LPA conducted (3) staff interviews. 3 out of the 3 staff stated facility staff schedule does accurately show the facility staff working. LPA observed Individual Program Plans (IPPs) for clients in care which did not indicate a specific staff ratio requirement was needed for any clients in care. Based on record review and observations, there was not enough evidence to corroborate allegation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
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 56-AS-20260126094644
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: PEACEFUL LIVING #2
FACILITY NUMBER: 336423576
VISIT DATE: 02/23/2026
NARRATIVE
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Second allegation received alleges facility staff do not have criminal record clearance. Per record review, LPA observed all facility staff to have a criminal record clearance to work at the facility.

Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Lena Rush.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2