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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602707
Report Date: 08/28/2024
Date Signed: 08/28/2024 03:15:33 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
08/22/2024 and conducted by Evaluator Janette Romero
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240822131645
FACILITY NAME:PEYTON'S PLACE SAN DIEGOFACILITY NUMBER:
374602707
ADMINISTRATOR:LANGWORTHY, VERONICAFACILITY TYPE:
735
ADDRESS:1973 GREY RABBIT HOLLOW LANETELEPHONE:
(760) 723-0882
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:4CENSUS: 4DATE:
08/28/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Administrator, Christopher WarnerTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Facility air conditioner is in disrepair.
INVESTIGATION FINDINGS:
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On 8/28/2024, Licensing Program Analysts (LPAs) Janette Romero and Debbie Palacios arrived unannounced to investigate the allegation listed above. LPAs met with Administrator, Christopher Warner who was informed of the purpose of the visit.

During today's visit, LPAs toured the facility, conducted interviews, and requested copies of pertinent records. Administrator Warner reported copies of records will be provided to LPA via email by close of business by 8/29/2024. It was alleged the facility's Air Conditioner (AC) is in disrepair and the facility has not submitted a plan to fix the AC. During the tour, LPAs observed the facility has an AC and heating system with a central panel to control the entire home. The central panel thermostat is located near the hallway leading to the staff room. During the tour, LPAs observed the central panel thermostat demonstrated the temperature inside the home was 82 degrees Fahrenheit while the temperature outside was 81 degrees Fahrenheit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
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 18-AS-20240822131645
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: PEYTON'S PLACE SAN DIEGO
FACILITY NUMBER: 374602707
VISIT DATE: 08/28/2024
NARRATIVE
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During the tour, LPAs counted eight (8) floor fans and one (1) portable AC unit placed throughout the facility and in the clients' rooms. Administrator Warner was interviewed and reported the facility's AC unit stopped working on approximately 7/17/2024 and the facility purchased fans as a temporary solution due to the AC repair cost estimated to be $25,000.00. Administrator Warner reported the facility had three (3) fans and one (1) portable AC unit and purchased the additional fans to maintain a comfortable temperature throughout the facility. LPAs reviewed a purchase receipt dated, 7/18/2024 confirming the facility purchased three (3) 18 inch pedestal fans and two (2) 20 inch floor fans. \ LPAs attempted to interview all four (4) clients; however, they were only able to establish effective communication with one (1) of four (4) clients residing in the facility. One (1) of four (4) clients interviewed reported although the facility's AC is in disrepair, a fan was placed in their room which maintains a comfortable temperature at all times. Administrator Warner added the facility has hired an individual to repair the AC and estimated the repair to be completed in approximately one (1) month or as soon as possible. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was reviewed and provided to Administrator Warner.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2