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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426759
Report Date: 11/14/2024
Date Signed: 11/14/2024 04:31:17 PM

Unfounded


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
11/06/2024 and conducted by Evaluator Ferrer Sabarias
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20241106142616
FACILITY NAME:CITRUS GARDENSFACILITY NUMBER:
336426759
ADMINISTRATOR:TRACY LANGENDOENFACILITY TYPE:
740
ADDRESS:25911 STANFORD STTELEPHONE:
(951) 925-7107
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:55CENSUS: 46DATE:
11/14/2024
UNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Valerie Garcia ED/AdministratorTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Facility doesn't have a qualified administrator.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Javina George and Ferrer Sabarias made an unannounced visit to deliver findings for the allegation listed above. LPAs met with Administrator Valeria Garcia where LPAs explained the purpose of the visit and the elements of allegation. The Allegation was investigated, the investigation consisted of observations, interviews, records review.

On 11/06/2024 Community Care Licensing received a complaint alleging that the facility doesn't have a qualified administrator, as they do not possess a valid administrator certificate. Per an interview conducted with Valeria Garcia, whom confirmed that she has been the Administrator since 10/30/24, administrator certificate number 6022084740, which expires 12/12/24. This was verfied by a records review of the personnel record and criminal record transfer request form. Upon conducting a tour of the interior of the physical plant LPAs observed for there to be a valid administrator certificate posted in the entryway. In addition per the file review conducted revealed the certificate renewal documents were sent on 11/05/24.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Ferrer Sabarias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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-20241106142616
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: CITRUS GARDENS
FACILITY NUMBER: 336426759
VISIT DATE: 11/14/2024
NARRATIVE
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Based on records review and observation the allegation of the facility doesn't have a qualified administrator is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted and a copy of this report was provided to Valerie Garcia Administrator.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Ferrer Sabarias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2