336426759-4-3-2025-18-AS-JDHS-DFMM3B-20250411091452

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426759
Report Date: 04/03/2025
Date Signed: 04/03/2025 03:28:28 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
02/14/2025 and conducted by Evaluator Armando Perez

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250214110735

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:	55	CENSUS: 52	DATE:	04/03/2025
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Executive Director Valeria Garcia		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff threatened resident.

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 allegation. LPA met with Executive Director Valeria Garcia and explained the purpose of the visit and the details of the allegation. The investigation included observations, interviews with staff members and residents, and a review of records.

On February 14, 2025, Community Care Licensing received a complaint alleging that a staff member threatened a resident in care. It was reported that Staff 1 (S1) verbally threatened Client 1 (C1) and Client 2 (C2), stating that the facility was their home and the clients would be evicted if they did not follow the rules. Information obtained from interview with Executive Director, (ED) Valeria Garcia stated that she was made aware of the incident and conducted an internal investigation with the alleged staff and residents involved. ED stated the investigation did not find evidence that S1 made the alleged statement. ED explained that C1 was upset because they had an incident which required C1 to have increased supervision.
Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR NAME: Armando Perez	TELEPHONE: (951) 248-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

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-20250214110735

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: 04/03/2025

NARRATIVE

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Information obtained from staff corroborated that C1 was upset regarding the change in supervision. Information obtained from interview with S1 stated denied threatening clients with evictions or that the facility was their home. Additional interviews conducted with staff denied that they heard S1 make any inappropriate statement regarding eviction or that the facility was their home. Additional witnesses were interviews and it was stated they never observed any staff being verbally threatening to residents.

Based on observations, record reviews, and interviews with clients and staff, this allegation is deemed Unsubstantiated. A finding of "Unsubstantiated" means that the allegation may have occurred or is valid, but there is insufficient evidence to prove the alleged violation.

An exit interview was conducted, and a copy of this report was provided to the Administrator.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR NAME: Armando Perez	TELEPHONE: (951) 248-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

LIC9099 (FAS) - (06/04)

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