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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604419
Report Date: 05/20/2024
Date Signed: 05/22/2024 03:16:14 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2024 and conducted by Evaluator Liliana Silveira
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20240402162213
FACILITY NAME:RUSSELL HOMES, INC HARBISONFACILITY NUMBER:
374604419
ADMINISTRATOR:RUSSELL, STACEYFACILITY TYPE:
735
ADDRESS:810 ST. GEORGE DR.TELEPHONE:
(619) 612-2245
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:4CENSUS: 4DATE:
05/20/2024
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Administrator Nicole GonzalesTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Unlawful Eviction.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to deliver findings for a complaint investigation for the above-mentioned allegations. LPA identified herself, disclosed the purpose of the visit and was allowed entry by Administrator Nicole Gonzales. Program Director Shontel Grivno arrived shortly after.

The Department’s investigation consisted of a records review, interviews and LPA observations. On April 2nd, 2024 it was alleged that Client #1(C1) received an unlawful eviction. A department interview with an outside source revealed that C1 had been admitted to the hospital on March 27, 2024 and was ready to be released on March 28, 2024, but the facility refused to accept the client back, stating that the client had been legally evicted.

A records review and department interviews revealed that a lawful thirty day (30) eviction notice was issued to Client #1 (C1) and C1’s responsible parties on February 19, 2024. (continued on next page, LIC 9099-C).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
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 08-AS-20240402162213
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: RUSSELL HOMES, INC HARBISON
FACILITY NUMBER: 374604419
VISIT DATE: 05/20/2024
NARRATIVE
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(CONTINUED FROM LIC 9099) The eviction notice contained information that met the requirements for a legal eviction based on Title 22 California Code of Regulations. LPA observation from a facility visit conducted on 04/05/24 also revealed that the facility had accepted C1 back into the facility.

Due to a lack of corroborating evidence, the allegation that a resident was unlawfully evicted is unsubstantiated. This finding means that although the allegation may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

LPA Silveira conducted an exit interview with Nicole. At the time of the exit interview Nicole was provided with a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016). The signature on this report acknowledges receipt of the rights.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2