365530119-2-23-2026-56-AS-KCLS-DRN2B2-20260225161425

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 365530119
Report Date: 02/23/2026
Date Signed: 02/23/2026 01:22:16 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
02/09/2026 and conducted by Evaluator Eldin Serrano

COMPLAINT CONTROL NUMBER: 56-AS-20260209083732

FACILITY NAME:	JC WALLACE HOUSE ADULT RESIDENTIAL COMMUNITY		FACILITY NUMBER:	365530119
ADMINISTRATOR:	TAMMY CHAVEZ		FACILITY TYPE:	735
ADDRESS:	22325 BARTON RD.		TELEPHONE:	(909) 420-0153
CITY:	GRAND TERRACE	STATE: CA	ZIP CODE:	92313
CAPACITY:	150	CENSUS: 131	DATE:	02/23/2026
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Tammy Chavez, Executive Director		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff is harassing resident.
Staff does not allow resident to leave facility.
Staff inappropriately punishes residents.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 2/23/2026 at 12:30 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano explained the purpose of the visit to the Executive Director (ED) Tammy Chavez. The investigation consisted of file review, interviews with staff and clients as well as observation.

Allegation #1: Staff is harassing resident. – Based on interviews with six staff and 7 out of 8 clients, it indicated that they have not witnessed or observed any staff harassing clients. LPA was unable to corroborate the allegation.

Allegation #2: Staff does not allow resident to leave facility. - Based on client interviews, 7 out of 8 clients reported that they are always permitted to leave the facility at any time. Staff interviews confirmed that even on blackout days—when clients are restricted from leaving under Department of Behavioral Health (DBH) policy due to policy violations, the facility cannot prevent clients from leaving and may only recommend that they remain on-site. LPA was unable to corroborate the allegation.
*** Continuation in LIC9099C ***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026

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-20260209083732

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: JC WALLACE HOUSE ADULT RESIDENTIAL COMMUNITY	FACILITY NUMBER: 365530119
	VISIT DATE: 02/23/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Allegation #3: Staff inappropriately punishes residents. – Interviews with staff and clients confirmed that the facility does not impose inappropriate punishments. When a client violates DBH policy, corrective action is addressed individually rather than collectively. The allegation cannot be substantiated.

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 and LIC9099C were discussed and provided to Executive Director Tammy Chavez.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2