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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426238
Report Date: 01/14/2021
Date Signed: 01/14/2021 02:28:39 PM

Unsubstantiated


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
01/06/2021 and conducted by Evaluator Tricia Danielson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210106104459
FACILITY NAME:R & R RETIREMENT HOME, LLC.FACILITY NUMBER:
336426238
ADMINISTRATOR:RAZON, ELIZABETHFACILITY TYPE:
740
ADDRESS:69445 MEGAN COURTTELEPHONE:
(760) 656-4160
CITY:CATHEDRAL CITYSTATE: CAZIP CODE:
92234
CAPACITY:6CENSUS: 1DATE:
01/14/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Elizabeth Razon, AdministatorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tricia Danielson contacted the facility via telephone to conclude a complaint investigation via telephone due to COVID-19 and for precautionary measures. LPA identified herself and discussed the purpose of the call and the elements of the allegation with Administrator (AD) Elizabeth Razon. During today's visit, LPA toured the facility via FaceTime with Caregiver Daniella, and interviewed AD Razon as well as one (1) resident. Regarding the allegation "Unlawful eviction": It was alleged that the facility did not provide a written eviction notice in an effort to evict a resident. During LPA interview with AD Razon, Ms. Razon reported a conversation did take place with the responsible party for Resident #1 (R1) regarding possibly relocating R1 but that no written or verbal eviction notice was given at any time and there was no agreement made to relocate R1. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
An exit interview was conducted with AD Razon via telephone and a copy of this report was provided via email and an electronic email read receipt confirms receiving the report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Reyna Lacey
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2021
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
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
01/06/2021 and conducted by Evaluator Tricia Danielson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210106104459

FACILITY NAME:R & R RETIREMENT HOME, LLC.FACILITY NUMBER:
336426238
ADMINISTRATOR:RAZON, ELIZABETHFACILITY TYPE:
740
ADDRESS:69445 MEGAN COURTTELEPHONE:
(760) 656-4160
CITY:CATHEDRAL CITYSTATE: CAZIP CODE:
92234
CAPACITY:6CENSUS: 1DATE:
01/14/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Elizabeth Razon, AdministatorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility does not have an adequate food supply
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tricia Danielson contacted the facility via telephone to conclude a complaint investigation via telephone due to COVID-19 and for precautionary measures. LPA identified herself and discussed the purpose of the call and the elements of the allegation with Administrator (AD) Elizabeth Razon. During today's visit, LPA toured the facility via FaceTime with Caregiver Daniella, and interviewed AD Razon as well as one (1) resident. Regarding the allegation "Facility does not have an adequate food supply": It was alleged that there was no food available for the facility's lone resident. During virtual tour of the facility, LPA observed a supply of fresh fruit, eggs, yogurt, milk, orange juice, sliced meat, vegetables, breads, eggs, dry goods such as cereal, oatmeal, canned food, pudding, broth. LPA also observed two (2) additional refrigerators located in the garage which also contained fruits, frozen meat, milk, juice, and ice cream. During LPA interview with Resident #1 (R1), R1 stated they were happy with the food they were provided and also stated it was an adequate quantity. This agency has investigated the complaint alleging "Facility does not have an adequate food supply". We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with ED Razon via telephone and a copy of this report was provided to via email and an electronic email read receipt confirms receiving these documents.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Reyna Lacey
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2