336426759-8-17-2026-18-AS-JDHS-DXWTBM-20260914143519

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426759
Report Date: 08/17/2026
Date Signed: 08/17/2026 03:17:47 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
08/13/2026 and conducted by Evaluator Ivashia Wright

COMPLAINT CONTROL NUMBER: 18-AS-20260813101240

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:	64	CENSUS: 55	DATE:	08/17/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Administrator Liliana Moreno		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff abandoned resident at hospital.
Staff are not answering the resident representative’s communications promptly.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Ivashia Wright, conducted an unannounced visit to conduct a investigation regarding the above allegations. LPA Ivashia met with Administrator Liliana Moreno and explained the purpose of the visit.

On August 13 ,2026 Community Care Licensing Division (CCLD) received a complaint alleging Staff abandoned resident at hospital and Staff are not answering the resident representative’s communications promptly. During the investigation, the LPA inspected the facility, reviewed R1's records, and conducted interviews with the Staff. LPA also interviewed R1's responsible party and witness to obtain additional information.

Regarding the allegation Staff abandoned resident at hospital, it was reported that the facility refused to accept R1 back after being discharged by the hospital.
Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2026

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-20260813101240

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: 08/17/2026

NARRATIVE

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Interview with Administrator, Liliana Moreno reported the facility didn't refuse to accept R1 after being discharged. Liliana stated that the facility is aware of needing to follow the proper guidelines on having a resident relocated from the facility. Information obtained from the interview with the witness corroborated the information obtained from Administration. Additional interviews with R1's responsible party stated the facility did accept R1 back into the facility and that R1 is currently residing there.

Regarding the allegation that Staff are not answering the resident representative’s communications promptly, It was reported that multiple attempts have been made to reach the Executive Director however calls have not been returned.

Interview with Administrator, Liliana Moreno reported the facility has been in constant communication with both R1's responsible party and the hospital. Information obtained from interviews with the witness corroborated the information obtained from Administration. Additional interviews with R1's responsible party revealed that she has spoke to both the Executive Director and Administrator on multiple occasions.

Based on staff interviews, witness interviews, and interviews with R1's responsibly party; the allegations that Staff abandoned resident at hospital and Staff are not answering the resident representative’s communications promptly is deemed unsubstantiated. This means that although the allegations may have happened or are valid, the preponderance of evidence requirement has not been met to prove that the alleged violations did or did not occur.

An exit interview was conducted and a copy of this report and 9099c were reviewed and provided to Administrator Liliana Moreno.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2026

LIC9099 (FAS) - (06/04)

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