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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800216
Report Date: 02/28/2025
Date Signed: 02/28/2025 11:31:41 AM

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
02/06/2025 and conducted by Evaluator Eldin Serrano
COMPLAINT CONTROL NUMBER: 56-AS-20250206094727
FACILITY NAME:HILEA HOMEFACILITY NUMBER:
361800216
ADMINISTRATOR:MORENO, DARLENEFACILITY TYPE:
735
ADDRESS:14032 OLEMA RDTELEPHONE:
(760) 503-0124
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:4CENSUS: 4DATE:
02/28/2025
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:James Glaude, Co-AdministratorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
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9
Staff made inappropriate comments towards resident
Staff hit resident
INVESTIGATION FINDINGS:
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2
3
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5
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9
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13
On 2/28/2025 at 10:25 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegation. LPA Serrano explained the purpose of the visit to the co-administrator James Glaude. The investigation consisted of file review, interviews with staffs and residents as well as observation.

The investigation was conducted by LPA Serrano. The allegations indicate:

#1 Staff made inappropriate comments towards resident– Based on interview, 3 out 3 clients and 3 out 3 staff stated that they have not witness or knowledge of anyone making inappropriate comments towards a resident.

*** Continuation in LIC9099C ***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025
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 56-AS-20250206094727
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: HILEA HOME
FACILITY NUMBER: 361800216
VISIT DATE: 02/28/2025
NARRATIVE
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#2 Staff hit resident - Based on interview, 3 out of 3 clients and 3 out of 3 staff stated that they have not witness or knowledge of anyone hitting or physically abusing any resident in care. All 3 clients stated that they like being here in this facility. One client stated that this group home is good to her.

During the investigation, LPA did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099, LIC909C were discussed and provided to co- administrator James Glaude.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2