374603381-4-3-2025-18-AS-RSTS-DG7UUV-20250429155409

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603381
Report Date: 04/03/2025
Date Signed: 04/03/2025 02:28:22 PM

Unfounded

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
03/24/2025 and conducted by Evaluator Janira Arreola

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250324112048

FACILITY NAME:	HUMMINGBIRD HILL		FACILITY NUMBER:	374603381
ADMINISTRATOR:	CHRIS B. CONKLIN		FACILITY TYPE:	740
ADDRESS:	1027 CALLE DE LIMAR		TELEPHONE:	(760) 723-9414
CITY:	FALLBROOK	STATE: CA	ZIP CODE:	92028
CAPACITY:	5	CENSUS: 0	DATE:	04/03/2025
		UNANNOUNCED	TIME BEGAN:	01:28 PM
MET WITH:	Licensee, Chris Conklin		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff's behavior poses a risk to residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Janira Arreola and Seo Jeon conducted an unannouned visit for the complaint allegation listed above. LPAs met with Licensee, Chris Conklin who was informed of the purpose of the visit. LPAs conducted a walk through, observation and interview.

It was alleged "Staff's behavior poses a risk to residents in care.", it was alleged that staff yells in the presence of residents. LPAs conducted a walk through of the home and observed no residents in care. LPA conducted a file review and found the facilities last annual 2024 the census was (0) residents. The licensee stated they have not had residents since 2020. Therefore, the allegation is unfounded, meaning the allegation is false, could not have happened or is without a reasonable basis. An exit interview was conducted with the licensee where this report was reviewed and provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janira Arreola	TELEPHONE: 951-233-6759
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025

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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