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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880939
Report Date: 02/26/2025
Date Signed: 02/28/2025 11:46:58 AM

Unfounded


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
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/27/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 56-AS-20250127153220
FACILITY NAME:TLC HOME CAREFACILITY NUMBER:
361880939
ADMINISTRATOR:MATE, KELVINFACILITY TYPE:
740
ADDRESS:30886 SUTHERLAND DRIVETELEPHONE:
(909) 351-6012
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:6CENSUS: 6DATE:
02/26/2025
UNANNOUNCEDTIME BEGAN:
09:57 AM
MET WITH:Maria Cielo Mate-Caregiver TIME COMPLETED:
10:35 AM
ALLEGATION(S):
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Licensee is being evicted from property due to non-payment of rent.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to deliver findings for the mentioned allegation. LPA met xxx who was informed of the purpose of the visit and allegation.

The investigation consisted of interviews with Landlord, outside party, Licensee, and review of documents.

LPA Allen conducted interviews with the licensee, an outside party, and the property's landlord. All parties confirmed that a 3-Day Notice to Pay Rent or Quit, covering the period from December 10, 2024, to January 9, 2025, was issued and received on December 16, 2025. The investigation also revealed that the payment for the aforementioned period was deposited into the landlord's account and the landlord has confirmed as received. The licensee provided documentation of payments made with certified funds into the landlord's account over the past three months. Additionally, the landlord, tenant, and outside party stated that no official notice of eviction has been issued to the renters as of February 2025 for the period specified in the 3-Day Notice.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
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-20250127153220
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: TLC HOME CARE
FACILITY NUMBER: 361880939
VISIT DATE: 02/26/2025
NARRATIVE
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Based on interviews and evidence gathered during the investigation, the above allegation is found to be Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis..

An exit interview was conducted where this report was discussed and provided to Maria Cielo Mate- Caregiver at the conclusion of the visit with appeal rights.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2