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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800195
Report Date: 01/23/2026
Date Signed: 01/23/2026 04:13:20 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
01/05/2026 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20260105145138
FACILITY NAME:JDJ BEHAVIORAL INCORPORATEDFACILITY NUMBER:
361800195
ADMINISTRATOR:ELIZABETH GONZALEZFACILITY TYPE:
735
ADDRESS:2385 PEACOCK AVENUETELEPHONE:
(909) 907-5867
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:4CENSUS: 4DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Staff, Yvette ChavisTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff verbally abuse resident.
Staff hit resident.
Staff did not seek medical attention for resident in a timely manner.
INVESTIGATION FINDINGS:
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On 01/23/2026 at 2:30PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit via telephone with Administrator, Elizabeth Gonzalez. LPA met with staff, Yvette Chavis. The investigation consisted of interviews and record review.

In regards to the allegation of staff verbally abuse resident:
LPA interviewed five (5) staff and (2) clients. Staff denied the allegation and stated that the clients can express their concerns. Client 1 (C1) and Client 2 (C2) both denied the allegation and stated they have never heard staff use unkind words towards clients. Based on interviews, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff hit resident:
Staff interviews confirmed that all of the clients in the home are verbal and would inform staff along with

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
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-20260105145138
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: JDJ BEHAVIORAL INCORPORATED
FACILITY NUMBER: 361800195
VISIT DATE: 01/23/2026
NARRATIVE
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other service providers if they were hit by staff. C1 and C2 denied the allegation. Based on interviews, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff did not seek medical attention for resident in a timely manner:
Staff stated that when an incident occurs involving a client, they check on the client, document what happened and contact the Administrator. C1 stated that they were asked if they wanted to go to the doctor and C1 said "no." Staff took C1 to the doctor a few days later. Based on interview and record review, this allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report LIC9099, LIC9099C was discussed and a copy was provided to staff.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2