336427235-9-22-2021-18-AS-EMAN-CAUQWB-20220120113136

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336427235
Report Date: 09/22/2021
Date Signed: 09/22/2021 10:54:54 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
09/16/2021 and conducted by Evaluator Jennifer Semin

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210916082410

FACILITY NAME:	CORONA RESIDENTIAL CARE CENTER LLC		FACILITY NUMBER:	336427235
ADMINISTRATOR:	AHARON STRIKS		FACILITY TYPE:	740
ADDRESS:	1400 CIRCLE CITY DR		TELEPHONE:	(951) 735-0252
CITY:	CORONA	STATE: CA	ZIP CODE:	92879
CAPACITY:	125	CENSUS: 103	DATE:	09/22/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mary Gonzales		TIME COMPLETED:	11:10 AM

ALLEGATION(S):

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9

Staff threatened resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jennifer Semin arrived to the facility unannounced to initiate a complaint investigation and deliver the findings for the above complaint allegation. LPA met with Assistant Administrator Mary Gonzales.
The investigation consisted of interviews with relevant parties. Regarding the allegation, Staff threatened resident. Staff interviews revealed staff deny threatening residents. Staff stated they do give violations for breaking house rules, but none have ever led to an eviction. Interviews with other residents revealed they have not been threatened by staff nor have they heard any staff threatening any other residents in care. Interviews with R1 revealed they feel staff make threats of eviction, make demeaning and harassing comments and use a condescending tone when talking to R1. Investigation did not reveal further information to either refute or corroborate the allegation.
Based upon interviews and information gathered, and although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time.
An exit interview was conducted where this report was discussed and provided to Ms. Gonzales.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Jennifer Semin	TELEPHONE: (951) 473-7024
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

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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