372008333-10-8-2025-18-AS-RORN-DMHMRP-20251016095040

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 372008333
Report Date: 10/08/2025
Date Signed: 10/08/2025 04:13:08 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
07/19/2022 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20220719164840

FACILITY NAME:	DOWNSTOWN, INC. V		FACILITY NUMBER:	372008333
ADMINISTRATOR:	CIAVERELLI, ELISSA		FACILITY TYPE:	735
ADDRESS:	1089 JENNIFER CIRCLE		TELEPHONE:	(760) 630-0028
CITY:	VISTA	STATE: CA	ZIP CODE:	92083
CAPACITY:	4	CENSUS: 4	DATE:	10/08/2025
		UNANNOUNCED	TIME BEGAN:	08:57 AM
MET WITH:	Kecia Stinnett		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility served Resident with an illegal eviction notice
Facility did not provide resident with transportation

INVESTIGATION FINDINGS:

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On October 8, 2025, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegation and to deliver findings. The Department was met by Kecia Stinnett, Director and the purpose of the visit was explained.

Investigation consisted of the following:

On 7/28/22, the Department conducted an unannounced initial visit to the facility to investigate the allegations mentioned above. During the visit 2 staff interviews were conducted (Executive Director and House Manager), it was determined that the complaint required further investigation.
On 10/8/2025 the Department toured the facility, interviewed Administrator (A1), and 2 Witnesses (W1-W2) via telephone. The Department obtained and reviewed 30-day notice (dated 6/8/21), email communication between facility and placement agency (7/15/22), client facesheet, C1's physician's report (dated; 11/29/21), Medication list (December 2021/January 2022), and copies of C1's trip itinerary (7/18/22).

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20220719164840

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: DOWNSTOWN, INC. V	FACILITY NUMBER: 372008333
	VISIT DATE: 10/08/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Facility served Resident with an illegal eviction notice.

The detail of complaint alleges the facility has served C1 with a 30-day eviction notice however, the facility did not provide the reason why the resident is being evicted.”

On 7/28/22 and 10/8/25, the Department interviewed Administrator (A1), who denied the allegation stating that the above allegation is false, as a reason for the eviction was given and clearly stated on the eviction notice. According to A1, the placement agency, the Department, and C1's family were notified of the eviction.

On 10/8/25, the Department obtained, reviewed, and evaluated the eviction notice and found that it stated the reason for eviction, and the letter was addressed to C1 and copied to: C1's family, the Department, and the placement agency.

Based on interviews and information gathered, there is insufficient evidence to support the allegation mentioned above; 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.

Allegation: Facility did not provide resident with transportation

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20220719164840

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: DOWNSTOWN, INC. V	FACILITY NUMBER: 372008333
	VISIT DATE: 10/08/2025

NARRATIVE

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The detail of the complaint alleges that “the facility refused to transport C1 to and from the airport for a trip that C1 attended.”

On 7/28/22 and 10/8/25, the Department interviewed Administrator (A1), who denied the allegation stating that it is false as A1 personally give C1 a ride to the airport, even though the placement agency stated that since it was a personal trip, the facility wasn't obligated to transport C1. Additionally, an email communication between the facility and placement agency shows that it was not the responsibility of the facility to transport C1 on a person trip.

Based on the interviews and information gathered, there is insufficient evidence to support the allegation mentioned above; 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.

There were no deficiencies cited during today's visit

Exit was conduct and copy of report provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025

LIC9099 (FAS) - (06/04)

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