336426759-4-27-2026-18-AS-RORN-DTZQ9F-20260512115816

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426759
Report Date: 04/27/2026
Date Signed: 04/27/2026 01:01:55 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
06/14/2024 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 18-AS-20240614120546

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:	DATE:	04/27/2026
		UNANNOUNCED	TIME BEGAN:	10:09 AM
MET WITH:	Valerie Garcia		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff will not return residents belongings.

INVESTIGATION FINDINGS:

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On April 27, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Antonine Richard, conducted an unannounced follow-up complaint visit. The LPA met with the Executive Director, Valerie Garcia, and the Administrator (A1), Liliana Moreno, and explained the purpose of the visit.

The investigation included collecting records and touring the facility. On April 16, 2026, the Department obtained various documents, including the Personnel Report LIC 500 (dated 04/16/26) and the Resident Roster (dated 04/16/26). The Department reviewed and collected documents for the resident (R1) Admission Agreement, physician Report, Medical Assessment, and Shower Schedule. The Department also interviewed the Administrator (A1), the former Executive Director (ED1), and the current Executive Director (ED), four staff members (S1-S4), six Residents (R2-R7), and the representative of Helping Hands Room and Board (HHRB).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026

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-20240614120546

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: 04/27/2026

NARRATIVE

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Allegation #1: Staff will not return residents' belongings.

The complaint alleged that the resident left Citrus Gardens and currently resides at Helping Hands Room and Board, where the resident is having difficulty retrieving the resident's (R1) belongings.

On June 6, 2024, the department interviewed the former Executive Director (ED1), who stated that they helped R1 pack most of their belongings, medications, and all items given to the Helping Hands Room and Board (HHRB). ED1 also stated they went back a second time to bring R1 the remaining belongings.

On April 20, 2026, the department interviewed the Executive Director (ED), who denied the allegation. The ED stated that when a resident moved out of the facility, staff ensured that all belongings and medications were given to the resident and to the HHRB. The department also interviewed the Administrator (A1), who denied the allegation. A1 explained that before any resident leaves the facility, we must ensure that all medications, the doctor's orders, and the resident's belongings are given to the resident or their family members.

Additionally, the department interviewed four staff members (S1-S4), all of whom denied the allegation. They also stated that the facility would ensure residents took their belongings. They further stated that even when a resident goes out over the weekend, the facility would ensure the resident's medications are with them, so they don’t miss any. The department also interviewed six residents (R2-R7), all of whom said they like living here.

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20240614120546

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: 04/27/2026

NARRATIVE

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On April 21, 2026, the department interviewed the representative of (HHRB), who stated that the facility gave R1 all of R1's belongings. However, after R1's medications were almost running out, the HHRB called the facility to ask about refilling them, and the facility stated that R1 needed to see the doctor and call the pharmacy for a refill. The department was unable to interview R1 because R1 moved out of HHRB in December 2024.

On April 20, 2026, the department reviewed the facility's admission agreement dated 09/30/2023, which stated that all resident personal property would be removed from their rooms within fifteen (15) days. And the facility shall have the right to dispose of such abandoned property in accordance with California Law.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were cited.

An Exit interview was conducted, and a copy of this report was provided to Administrator Liliana Moreno.

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026

LIC9099 (FAS) - (06/04)

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