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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530015
Report Date: 06/26/2026
Date Signed: 06/26/2026 12:22:32 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
10/14/2025 and conducted by Evaluator Eldin Serrano
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20251014161421
FACILITY NAME:ZION ADULT RESIDENTIAL FACILITY 2FACILITY NUMBER:
365530015
ADMINISTRATOR:UNIQUE WATKINSFACILITY TYPE:
735
ADDRESS:12641 GARDEN WAYTELEPHONE:
(951) 305-5308
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY:4CENSUS: 3DATE:
06/26/2026
UNANNOUNCEDTIME BEGAN:
11:53 AM
MET WITH:Breanna Holloway house managerTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff lack of supervision resulted inapproriate touching.
INVESTIGATION FINDINGS:
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On 6/26/2026 at 11:53 AM, Licensing Program Analysts (LPAs), Eldin Serrano and Matthew Aguilar, visited the facility to deliver the investigative findings for the above allegations. LPAs identified themselves and discussed the purpose of the visit to a staff that call the administrator immediately. LPAs met with the house manager Breanna Holloway,

The investigation was conducted by Department staff. The investigation consisted of file review and interviews with Client #1 (C1), and relevant parties. It was alleged that Client #2 (C2) had inappropriately humped Client #1 (C1) however, subsequent interviews and documentation reviewed, indicated that C1 provided conflicting statements regarding the identity of the alleged perpetrator and the location where the alleged incident occurred. Documentation reviewed revealed that C1 later changed the narrative. Interviews conducted with outside parties and C1 did not corroborate the allegation. During separate interviews, C1 did not disclose any sexual abuse, inappropriate touching, or humping by C2, or any other individual. Interviews with facility staff reported that all clients receive continuous supervision and that no information was obtained to support the allegation.

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

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
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-20251014161421
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: ZION ADULT RESIDENTIAL FACILITY 2
FACILITY NUMBER: 365530015
VISIT DATE: 06/26/2026
NARRATIVE
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The allegation is Unsubstantiated. A finding that 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.

An exit interview was conducted where this report, LIC 9099 and LIC9099C were discussed and provided to house manager Breanna Holloway.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2