374602707-5-15-2026-18-AS-RORN-DUFTP9-20260526145359

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602707
Report Date: 05/13/2026
Date Signed: 05/15/2026 04:39:19 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
05/23/2024 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 18-AS-20240523112649

FACILITY NAME:	PEYTON'S PLACE SAN DIEGO		FACILITY NUMBER:	374602707
ADMINISTRATOR:	LANGWORTHY, VERONICA		FACILITY TYPE:	735
ADDRESS:	1973 GREY RABBIT HOLLOW LANE		TELEPHONE:	(760) 723-0882
CITY:	FALLBROOK	STATE: CA	ZIP CODE:	92028
CAPACITY:	4	CENSUS: 4	DATE:	05/13/2026
		UNANNOUNCED	TIME BEGAN:	09:18 AM
MET WITH:	Christopher Warner		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff does not provide a client with an appropriate sleeping arrangement.
Staff denies the clients access to the home.

INVESTIGATION FINDINGS:

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On May 13, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Antonine Richard, conducted a follow-up unannounced complaint visit. The LPA met with the Administrator (A2), Christopher Warner, and explained the purpose of the visit.

The investigation included collecting records and touring the facility. On May 13, 2026, the Department obtained various documents, including the Personnel Report LIC 500 and the Client Roster. The Department reviewed and collected documents for four clients (C1-C4), including the C2-C3, Admission Agreement, the physician's Report, the Individual Services Plan, and the facility menu. The Department interviewed the Administrator (A2) and three staff members (S4, S5, S6). On May 30, 2024, the department interviewed four Clients (C1-C4), but they were unable to answer the questions due to their health conditions. The department also interviewed the former Administrator A1 and 3 staff members (S1-S3).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

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 5

Control Number 18-AS-20240523112649

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: 05/13/2026

NARRATIVE

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Allegation #1: Staff does not provide a client with an appropriate sleeping arrangement.

The complaint alleged that a client #2 (C2) sleeps on an inflatable mattress in the C3 room. On May 30, 2024, the department interviewed the then-Administrator (A1), who denied the allegations. The department also interviewed three staff members (S1, S2, and S3) on the same day. All staff members denied the allegations, stating that all residents sleep in their own rooms and that no inflatable mattresses are provided for any residents. They confirmed that all clients exclusively sleep in their designated rooms.

The department then interviewed four clients (C1, C2, C3, and C4) on May 30, 2024; however, they were unable to respond to the questions due to their health conditions.

On May 13, 2026, the current Administrator (A2) was interviewed and also denied the allegations. A2 mentioned that the clients prefer to sleep in their own rooms but noted that C3 occasionally likes to sleep on an inflatable mattress with C2's permission because they are friends. A2 stated that it has been a long time since C3 last slept in C2's room.

On May 13, 2026, the department again interviewed staff members S4, S5, and S6. All three denied the allegations and stated that they had not observed any client sleeping in another client's room.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 18-AS-20240523112649

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: 05/13/2026

NARRATIVE

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On May 13, 2026, the department again interviewed staff members S4, S5, and S6. All three denied the allegations and stated that they had not observed any client sleeping in another client's room.

On the same day, the department reviewed the Individual Services Plan (ISP), which stated that clients can choose whom they want to room with, subject to the other clients' permission. The ISP also outlined what clients wish to eat and what activities they would like to participate in.

Finally, on May 13, 2026, the department toured the facility and inspected each room, finding no inflatable mattresses present.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated.

Report Continued on LIC9099

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 18-AS-20240523112649

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: 05/13/2026

NARRATIVE

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Allegation #2: Staff denied the clients access to the home.

The complaint alleged that the licensee does not allow the clients to use certain parts of the facility. On May 30, 2024, the department conducted interviews with the former Administrator (A1), who denied the allegations. Additionally, the department spoke with three staff members (S1-S3), all of whom also denied the allegations. They reported that some clients prefer to stay in their rooms, while others choose the activity room or the dining room to watch TV.

The department also interviewed four clients (C1-C4) on the same day, but they were unable to respond to the questions due to their health conditions.

On May 13, 2026, the department conducted an interview with the current Administrator (A2), who firmly reiterated that the allegations were false. They emphasized that clients are free to use any part of the facility, including the kitchen, at any time of day or night. A2 also mentioned that the facility provides a monthly menu, allowing clients to request different meals or order take-out on any given day, with staff encouraged to take the remaining food.

Additionally, on the same day, the department interviewed three staff members (S4-S6), who confirmed that all clients frequently used the dining room, living room, and activity rooms, and sometimes played outside in the backyard. They noted that staff members would only place their lunches in the refrigerator on the days they were working.

Report Continued on LIC9099C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 18-AS-20240523112649

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: 05/13/2026

NARRATIVE

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They also mentioned that any staff food left in the refrigerator at the end of the day would be thrown out. The department reviewed the facility menu on May 13, 2026, which displayed a variety of dish options. It was found that the facility had sufficient perishable and non-perishable items to last for a week.

No deficiencies were cited.

An exit interview was conducted. A copy of this report was provided to the Administrator Christopher Warner.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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