<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880994
Report Date: 12/19/2025
Date Signed: 12/19/2025 10:51:38 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
12/02/2025 and conducted by Evaluator Becky Mann
COMPLAINT CONTROL NUMBER: 56-AS-20251202095811
FACILITY NAME:PEOPLE'S CARE ZUNIFACILITY NUMBER:
361880994
ADMINISTRATOR:ADEWALE ADERONMUFACILITY TYPE:
737
ADDRESS:23250 ZUNI ROADTELEPHONE:
(760) 961-0707
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:4CENSUS: 2DATE:
12/19/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Kory Medina, Assistant AdministratorTIME COMPLETED:
11:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handled client in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Kory Medina, Assistant 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 handled client in a rough manner. LPA interviewed five (5) staff and they denied handling a client in a rough manner. The five (5) staff have not witnessed a client being handled in a rough manner. Client #1 (C1) stated that they have not been handled in a rough manner by staff.

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 Kory Medina, Assistant Administrator at the conclusion of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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 1