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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366402567
Report Date: 10/16/2024
Date Signed: 10/16/2024 10:11:38 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
12/21/2023 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20231221113756
FACILITY NAME:INLAND ADULT DEVELOPMENTAL CENTERFACILITY NUMBER:
366402567
ADMINISTRATOR:DORIS EKANEMFACILITY TYPE:
775
ADDRESS:10221-B TRADEMARK STREETTELEPHONE:
(909) 483-1310
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:45CENSUS: 29DATE:
10/16/2024
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Djarnette Green, Program DirectorTIME COMPLETED:
10:10 AM
ALLEGATION(S):
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Facility did not obtain a building permit prior to construction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation. LPA met with Program Director, Djarnette Green and discussed the purpose of the visit. The investigation consisted of LPA record review, interviews with staff and outside parties.

Regarding the allegation, facility did not obtain a building permit prior to construction, it was alleged that the facility had acquired indoor sheds without obtaining a required permit from the fire department. LPA’s review of Rancho Cucamonga’s Fire District inspection reports reveals, on 11/02/23, the Fire District conducted an inspection of the facility. The facility was ordered by the Fire District to either obtain permits for the indoor sheds or remove them. During the period of 11/02/23 and 04/11/24, the facility worked with the Fire District to comply with the ordered corrections. On 4/11/24, the sheds were removed. No further corrections were needed and no citations were issued.
Based on evidence obtained during the investigation, the above allegation is Unsubstantiated. Although, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
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-20231221113756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: INLAND ADULT DEVELOPMENTAL CENTER
FACILITY NUMBER: 366402567
VISIT DATE: 10/16/2024
NARRATIVE
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An exit interview was conducted where this report was discussed and a copy was provided to Program Director Green at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2