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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360909246
Report Date: 05/21/2026
Date Signed: 05/21/2026 03:33:06 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
04/17/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250417081928
FACILITY NAME:PADUA VILLAGE, INC.FACILITY NUMBER:
360909246
ADMINISTRATOR:SHAWN F. BARRACKSFACILITY TYPE:
735
ADDRESS:11981 MIDWAY RD.TELEPHONE:
(760) 248-6245
CITY:LUCERNE VALLEYSTATE: CAZIP CODE:
92356
CAPACITY:26CENSUS: 17DATE:
05/21/2026
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Stephanie Kaplan AdministratorTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Staff did not maintain a safe facility environment for residents in care
Staff provided transportation to resident in care while under the influence of drugs
Staff member speaks inappropriately to residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Stephanie Kaplan and explained the purpose of the visit regarding the allegations stated above.

First allegation: Staff did not maintain a safe facility environment for residents in care. Regarding the allegation stated above, LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4 regarding the alleged allegation and R#1-4 informed LPA that they feel safe and facility staff provides a safe environment. LPA conducted an interview with Staff #2, Staff #3, and Staff #4 regarding the alleged allegation and Staff #2-4 denied the allegation and informed LPA that all residents are treated with respect and are provided with a safe environment. In addition, Staff #2-4 informed LPA that they have not witnessed such events regarding staff not providing a safe environment to residents in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
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 56-AS-20250417081928
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: PADUA VILLAGE, INC.
FACILITY NUMBER: 360909246
VISIT DATE: 05/21/2026
NARRATIVE
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Second allegation: Staff provided transportation to resident in care while under the influence of drugs. Regarding the allegation stated above, LPA conducted an interview with Resident #1 regarding the alleged allegation and Resident #1 informed LPA that they did not witness Staff #1 smoking marijuana while transporting residents. In addition, Resident #1 informed LPA that they have not witness Staff #1 offer marijuana to residents in care. Resident #1 informed LPA that on one occasion Staff #1 smelled like Marijuana however, Resident #1 did not witness Staff #1 smoke marijuana or offer marijuana to residents. LPA conducted interviews with Staff #2-4regarding the alleged allegation and all staff denied the allegation and informed LPA that they have not witnessed Staff #1 smoke or offer marijuana to residents in care.

Third allegation: Staff member speaks inappropriately to residents in care. Regarding the allegation stated above, LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4 regarding the alleged allegation and R#1-4 informed LPA that they have not experienced or witnessed staff speak inappropriately to residents in care. Resident #1-4 informed LPA that they have no concerns or issues regarding staff and reported feeling safe. LPA conducted interviews with Staff #1, Staff #2, Staff #3, and Staff #4, regarding the alleged allegation and all denied the allegation and informed LPA that they have not witnessed staff speak inappropriately to residents in care. Based on corroborating evidence LPA has determined that the above allegation is Unsubstantiated, meaning that although the allegation 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) was discussed, and a copy was provided to Facility Administrator Stephanie Kaplan.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC9099 (FAS) - (06/04)
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