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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800216
Report Date: 01/14/2026
Date Signed: 01/14/2026 04:15:41 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
08/14/2025 and conducted by Evaluator Becky Mann
COMPLAINT CONTROL NUMBER: 56-AS-20250814162253
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: 3DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Darlene Moreno, AdministratorTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff did not allow client to have a visitor
Staff provided drugs to client not prescribed by a physician
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Becky Mann and Rima Corona conducted an unannounced visit to the facility to initiate a complaint investigation. LPAs met with Darlene Moreno, Administrator and discussed the purpose of the visit. The investigation consisted of LPA observations, pertinent record reviews and interviews with staff and clients.

The allegation that staff did not allow client to have a visitor. LPA interviewed three (3) staff, they stated that they do allow the clients to have visitors. LPA interviewed three (3) clients, they stated that staff does allow them to have visitors.

The allegation that staff provided drugs to client not prescribed by a physician. LPA interviewed three (3) staff, they denied providing drugs to clients in care. LPA interviewed three (3) clients, staff has not provided them with drugs.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
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-20250814162253
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: 01/14/2026
NARRATIVE
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Based on evidence obtained during this investigation, the allegation above 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 was discussed, and a copy of this report was provided to Darlene Moreno, Administrator at the conclusion of the visit.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2