336426760-6-3-2021-18-AS-EMAN-C74SW3-20210922141340

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426760
Report Date: 06/03/2021
Date Signed: 06/03/2021 02:09:14 PM

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
05/27/2021 and conducted by Evaluator Stephanie Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210527101954

FACILITY NAME:	CITRUS COURT		FACILITY NUMBER:	336426760
ADMINISTRATOR:	MARLYA DUNHAM		FACILITY TYPE:	740
ADDRESS:	161 N HEMET ST		TELEPHONE:	(951) 927-6817
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	66	CENSUS: 28	DATE:	06/03/2021
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Marlya Dunham		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff do not provide transportation services to the residents while in care
Staff intimidates a resident while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Stephanie Williams made an unannounced visit to the facility in order to conduct a complaint investigation into the above allegations. LPA met with Administrator, Marlya Dunham, and explained the purpose of the visit. The investigation consisted of interviews with residents and staff members and records review.

In regards to allegation #1, LPA interviewed Staff #1 (S1), Staff #2 (S2), and Staff #3 (S3) who stated that the facility offers various modes of transportation to appointments and activities for their residents. LPA also interviewed Resident #1 (R1) who stated that the facility has been offering transportation services to appointments and activities.

In regards to allegation #2, LPA interviewed R1 who denied that staff are intimidating them while in care. LPA interviewed Resident #2 (R2) who stated that they do not feel intimidated by staff members. LPA interviewed S1, S2, and, S3 who all denied that staff members are intimidating residents in care.

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: 06/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021

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-20210527101954

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: 06/03/2021

NARRATIVE

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

An exit interview was conducted where this report (LIC 9099 & LIC 9099C) was discussed and a copy was provided to the Administrator.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Stephanie Williams	TELEPHONE: (951) 248-0317
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021

LIC9099 (FAS) - (06/04)

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