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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426760
Report Date: 10/13/2025
Date Signed: 10/14/2025 09:58:18 AM

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
04/26/2022 and conducted by Evaluator Sparkle Day
COMPLAINT CONTROL NUMBER: 18-AS-20220426121155
FACILITY NAME:CITRUS COURTFACILITY NUMBER:
336426760
ADMINISTRATOR:MARLYA DUNHAMFACILITY TYPE:
740
ADDRESS:161 N HEMET STTELEPHONE:
(951) 927-6817
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:0CENSUS: DATE:
10/13/2025
UNANNOUNCEDTIME BEGAN:
08:34 AM
MET WITH:TIME COMPLETED:
08:35 AM
ALLEGATION(S):
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Lack of supervision resulting in resident leaving the facility.
Staff does not ensure resident is taking medication.
INVESTIGATION FINDINGS:
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On 5/5/2022 Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to the facility to initiate the investigation into the above allegations. The LPA met with Resident Care Coordinator Krista Franklin and informed her of the purpose of the visit.

The Investigation consisted of the following:
LPA Jesse Gardner conducted a tour of the facility and reviewed records and received copies of pertinent documentation.

Allegation #1: Lack of supervision resulting in resident leaving the facility.
It is alleged that Resident #1 (R1)wandered off from the facility
On 5/5/2022 Licensing Program Analyst (LPA) Jesse Gardner conducted a tour of the facility and reviewed records and received copies of pertinent documentation.
On 10/10/25 Licensing Program Analyst (LPA) Sparkle Day began the follow up investigation regarding the above allegations of this complaint. On10/10/13 (LPA) Sparkle Day attempted to call Reporting party but
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20220426121155
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 COURT
FACILITY NUMBER: 336426760
VISIT DATE: 10/13/2025
NARRATIVE
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was unable to reach at number provided. LPA Sparkle Day attempted to call wife of (R1) and was unable to reach at number provided. R#1 whereabouts are unknown .This Facility closed 1/31/25. There is now new management. Therefore No records or files were available for review. Due to the facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation.
Based upon this investigation, LPA finds that 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.

Allegation #2 : Staff does not ensure resident is taking medication

It is alleged that R#1 is not taking his medication

On 5/5/2022 Licensing Program Analyst (LPA) Jesse Gardner conducted a tour of the facility and reviewed records and received copies of pertinent documentation.


LPA Gardner interviewed wife of R1 . It was reported that R1 is self neglecting and refuses to take his medications
On 10/10/25 Licensing Program Analyst (LPA) Sparkle Day began the follow up investigation regarding the above allegations of this complaint. On 10/10/25 LPA) Sparkle Day attempted to call Reporting party but was unable to reach at number provided. LPA Sparkle Day attempted to call wife of (R1) and was unable to reach at number provided. R#1 whereabouts are unknown .This Facility closed 1/31/25. There is now new management. Therefore No records or files were available for review. Due to the facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation.
Based upon this investigation, LPA finds that 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.

A copy of this report will be mailed to the last known address : 161 N. Hemet Street, Hemet, CA 92544

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2