336426759-4-27-2026-18-AS-RORN-DTZPDJ-20260512111334

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426759
Report Date: 04/27/2026
Date Signed: 04/27/2026 01:47:50 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
03/25/2024 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 18-AS-20240325141120

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: 59	DATE:	04/27/2026
		UNANNOUNCED	TIME BEGAN:	01:03 PM
MET WITH:	Liliana Moreno		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff refused to accept resident back to the facility.

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 complaint visit. The LPA, Richard, met with the Executive Director (ED), Valerie Garcia, and the Administrator (A1), Liliana Moreno, and explained the purpose of the visit.

The investigation consisted of 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 the following documents for residents R1. The residents' Admission Agreements, the physician's report, the Medical Assessment, the facility's eviction notice, Affidavit of Service, the Unusual Incident Report, and the facility notes. The Department also interviewed the Administrator (A1), the Executive Director (ED), four staff members (S1-S4), and six residents (R2-R7 The department was unable to interview resident R1 because R1 no longer lives at the facility.

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-20240325141120

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 refused to accept resident back to the facility.

The complaint alleged that the resident was sent to the hospital and, upon being transported back to the facility, the facility refused to allow the resident in.

On April 16, 2026, the department interviewed the Executive Director (ED) and the Administrator (A1), both of whom denied the allegation. The facility would accept a resident after a hospital visit. The Administrator also stated that, even with an eviction notice, the facility must admit residents after a hospital visit.

Four staff members (S1-S4) were interviewed, all of whom denied the allegations against the facility. They also stated that they had not witnessed or heard of any instance where a resident was refused reentry after a hospital visit. The department subsequently interviewed six residents (R2-R7). Among these six residents, four reported that they had gone to the hospital and returned without any issues. The department attempted to contact the responsible party and family members, but did not receive any responses. Additionally, the department reviewed a facility note indicating that R1 left for the hospital on March 23, 2024, and did not return. Unfortunately, the department was unable to interview R1, as their current whereabouts are unknown.

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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