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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604368
Report Date: 04/07/2026
Date Signed: 04/07/2026 11:49:55 AM

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
04/03/2026 and conducted by Evaluator Robert Campbell
COMPLAINT CONTROL NUMBER: 18-AS-20260403091353
FACILITY NAME:MERAKEY - AMPAROFACILITY NUMBER:
374604368
ADMINISTRATOR:JACQUELINE SMITHFACILITY TYPE:
737
ADDRESS:479 AMPARO DRIVETELEPHONE:
(442) 277-4554
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:4CENSUS: 4DATE:
04/07/2026
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Jacqueline Smith/AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff do not maintain facility sanitary
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Robert Campbell conducted an unannounced visit to the facility to initiate an investigation regarding the allegation listed above. LPA was granted entry and met with Jacqueline Smith/Administrator who was informed of the purpose for this visit. LPA toured the facility, reviewed records, conducted interviews, took photos of resident's rooms, and took copies of pertinent information.

Regarding the allegation "Staff do not maintain facility sanitary”, LPA conducted interviews with staff, residents, and Resident One (R1) that does not corroborate with the allegation. LPA initial walk through of the facility was conducted and revealed room #1, #2, #3, #4 and the bathrooms to be clean and in good repair. LPA observations during the tour of the facility revealed the residents’ rooms swept, are clean, organized, no observable dirty clothes on any of the floors, and there were no strong orders of any kind present. (Continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Robert Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
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 2
Control Number 18-AS-20260403091353
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: MERAKEY - AMPARO
FACILITY NUMBER: 374604368
VISIT DATE: 04/07/2026
NARRATIVE
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Cont...
Additional feedback provided during interviews with staff and residents revealed that Registered Behavioral Technician's make the residents’ bed, sweep/mop and clean the residents’ room on every shift daily. Based on observation and interviews, there is no concerns that would prove that Staff do not maintain facility sanitary thus the allegations are UNSUBSTANTIATED.

An allegation finding of unsubstantiated means, although the allegations may have happened or are valid, there is not a preponderance of the evidence strand to prove the alleged violations did or did not occur.

An exit interview was conducted, and a copy of this report was provided to Jacqueline Smith/Administrator
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Robert Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC9099 (FAS) - (06/04)
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