374603730-5-9-2023-18-AS-RSTS-CW2URU-20230926154920

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603730
Report Date: 05/09/2023
Date Signed: 05/09/2023 12:23:58 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
05/03/2023 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20230503125952

FACILITY NAME:	MORRIS ARF		FACILITY NUMBER:	374603730
ADMINISTRATOR:	MORRIS, JOLIE		FACILITY TYPE:	735
ADDRESS:	3354 HILLSIDE LANE		TELEPHONE:	(760) 645-0870
CITY:	FALLBROOK	STATE: CA	ZIP CODE:	92028
CAPACITY:	3	CENSUS: 2	DATE:	05/09/2023
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Jolie Morris, Licensee		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility has secured perimeter without CCL approval.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On May 9, 2023, Licensing Program Analysts (LPAs) Chinwe Nwogene and Sara Martinez conducted an unannounced visit to investigate the above allegation(s). LPAs met with Licensee, Jolie Morris who was informed of the purpose of the visit. At the time of visit, LPAs interviewed staff, interviewed residents, and conducted an inspection of the facility.
It was alleged that facility has a secured perimeter without CCL approval. LPAs interviewed staff who stated the pedestrian gate was not locked, that a dummy lock was just placed to make it look like it’s locked for security reasons. Staff stated there are two other gates that residents have the pass code to. Interviews with residents revealed residents doesn’t use the pedestrian gate and haven’t seen a lock on the pedestrian gate. The interview also revealed the residents has the pass code to the other two gates and are able to leave the facility when ever they want.
Based on interviews with staff, residents and observation there is not enough evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Jolie Morris.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

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 3