336426760-7-24-2020-18-AS-EMAN-BRZP3P-20200730105753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426760
Report Date: 07/06/2020
Date Signed: 07/24/2020 10:14:33 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/26/2020 and conducted by Evaluator Stephanie Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200526121256

FACILITY NAME:	CITRUS COURT		FACILITY NUMBER:	336426760
ADMINISTRATOR:	ROSARIO P. REYES		FACILITY TYPE:	740
ADDRESS:	161 N HEMET ST		TELEPHONE:	(951) 927-6817
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	66	CENSUS: 39	DATE:	07/06/2020
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Kelley Lara		TIME COMPLETED:	03:25 PM

ALLEGATION(S):

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Facility is in financial distress
A staff is under the influence of a substance while caring for residents
A staff is stealing a residents' medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Stephanie Williams contacted the facility to deliver findings for the above allegations via telephone due to the COVID-19 pandemic. LPA identified herself and discussed the purpose of the call with Administrator. Kelley Lara. The investigation consisted of interviews with staff/residents and records review.

In regards to allegation #1, LPA interviewed Staff #1 (S1) who stated that the facility is not experiencing any financial distress. S1 stated that the facility has enough supplies; such as hygiene, food, and personal protective equipment. S1 also stated that the facility does not have a shortage of staff and they are appropriately caring for residents. LPA interviewed Resident #1 (R1) and Resident #2 (R2) who both stated that they do not believe the facility is experiencing financial distress. R1 and R2 both stated that they do not have any issues with the facility and are getting cared for appropriately.

In regards to allegation #2, LPA interviewed S1 who stated that as soon as they learned Staff #2 (S2) is

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Stephanie Williams	TELEPHONE: (951) 248-0317
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2020

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-20200526121256

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CITRUS COURT	FACILITY NUMBER: 336426760
	VISIT DATE: 07/06/2020

NARRATIVE

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suspected be under the influence of substances while caring for residents, they sent S2 for a drug test. LPA reviewed documentation which indicated that the drug test results of S2 were negative. LPA interviewed S2 who stated that they do not use drugs on the premises or while caring for residents. LPA interviewed R1 and R2 who both stated they do not suspect any staff members using drugs while caring for them or other residents.

In regards to allegation #3, LPA interviewed S1, S2, and Staff #3 (S3) who stated that narcotic drug counts are done 3 times a day, during every shift. S1, S2, and S3 also stated that medication counts are audited every so often. LPA reviewed documentation which indicated that medications were all accounted for. LPA interviewed R1 and R2 who stated they are getting all of their medications on time.

Based on evidence obtained during today’s visit, LPA has determined that the above allegations are UNSUBSTANTIATED; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies cited. An exit interview was conducted via telephone and a copy was provided to Lara via email.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Stephanie Williams	TELEPHONE: (951) 248-0317
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2020

LIC9099 (FAS) - (06/04)

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