336426759-10-23-2025-18-AS-RSTS-DMYRQL-20251031131340

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426759
Report Date: 10/23/2025
Date Signed: 10/23/2025 05:05:17 PM

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
06/04/2025 and conducted by Evaluator Armando Perez

COMPLAINT CONTROL NUMBER: 18-AS-20250604100237

FACILITY NAME:	CITRUS GARDENS		FACILITY NUMBER:	336426759
ADMINISTRATOR:	TRACY LANGENDOEN		FACILITY TYPE:	740
ADDRESS:	25911 STANFORD ST		TELEPHONE:	(951) 925-7107
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	59	CENSUS: 51	DATE:	10/23/2025
		UNANNOUNCED	TIME BEGAN:	04:16 PM
MET WITH:	Executive Director Valeria Garcia Business Office Manager Judine Ramirez		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Staff did not ensure resident had adequate sleeping accommodations.
Facility’s Administrator is not on the premises a sufficient number of hours.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA Perez met with Executive Director Valeria Garcia and Business Office Manager Judine Ramirez, where the LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of interviews with staff and witnesses and file reviews.

On June 4, 2025, Community Care Licensing Division (CCLD) received a complaint alleging that staff did not ensure resident had adequate sleeping accommodation and Facility’s Administrator is not on the premises a sufficient number of hours.

In response to concerns regarding inadequate sleeping accommodation, it was reported that a resident had been observed sleeping on a broken bed and staff failed to take corrective action.Interview with ED stated that no reports of a broken bed had been brought to their attention.

Cpntinued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20250604100237

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: 10/23/2025

NARRATIVE

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Interviews with six of six staff members corroborated that no observations of a broken bed had been reported. On June 4th, 2025, LPA toured the facility documenting observations. LPA inspected 14 rooms, noting that no inadequate sleeping arrangements were observed. LPA noted proper bed accommodation in 14 of 14 rooms with proper bed frames and mattresses. Through resident interviews, 3 of 3 revealed no issues with their sleeping accommodation or aware of any reported broken beds. Multiple interview attempts were made with Additional Witness 1 (AW1) to gather further information, however, AW1 did not respond to the interview request. Through record review, no special incident reports or maintenance orders documenting a broken bed were reported.

In response to the allegation that the Facility Administrator is not present on the premises for a sufficient number of hours, it was reported that AW1 attempted to speak with management regarding a resident’s inadequate sleeping accommodations, but management was unavailable. Information obtained from an interview with ED, stated they are regularly on-site Monday through Friday from 8:00 AM to 5:00 PM. It was also advised that an additional Administrator is present during similar hours to provide support. Interviews with all six staff members corroborated that both the ED and Administrator are consistently available in person to assist staff and visitors. Staff further indicated that both administrators are accessible by phone when not physically present at the facility. Information obtained from interviews with residents stated that Administrator is available during weekday hours.

A review of records confirmed that both the ED and Administrator hold valid Administrator certificates. Additionally, Title 22 regulations do not specify a required number of on-site hours, but indicated the importance of fulfilling the responsibilities associated with the role. The regulations also permit the use of designated substitutes who possess adequate qualifications to be responsible and accountable for the facility’s management and administration. Staff schedules reviewed, verified that both the ED and Administrator are scheduled to be on-site Monday through Friday, from 8:00 AM to 5:00 PM documenting compliance with regulation.

Continued on LIC 9099-C.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20250604100237

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: 10/23/2025

NARRATIVE

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Based on interviews, record reviews, and observations the allegations staff did not ensure resident had adequate sleeping accommodation and Facility’s Administrator is not on the premises a sufficient number of hours has been deemed UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted. A copy of this report was provided to Executive Director Valeria Garcia and Business Office Manager Judine Ramirez.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025

LIC9099 (FAS) - (06/04)

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