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Department of
SOCIAL SERVICES
Community Care Licensing
COMPLAINT INVESTIGATION REPORT
Facility Number:
331880585
Report Date:
09/16/2025
Date Signed:
09/30/2025 12:50:44 PM
Substantiated
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
07/22/2022
and conducted by Evaluator
Deborah Lee
COMPLAINT CONTROL NUMBER:
18-AS-20220722113442
FACILITY NAME:
COOL MEADOW CARE
FACILITY NUMBER:
331880585
ADMINISTRATOR:
MA SATCHEL LECITA
FACILITY TYPE:
740
ADDRESS:
29787 COOL MEADOW DR
TELEPHONE:
(951) 246-0214
CITY:
MENIFEE
STATE:
CA
ZIP CODE:
92587
CAPACITY:
6
CENSUS:
6
DATE:
09/16/2025
UNANNOUNCED
TIME BEGAN:
08:26 AM
MET WITH:
Long Zhang
TIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff restrained resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
**This report is to amend document dated 9/16/25. The purpose of the amended document is to change findings from UNSUBSTANTIATED to SUBSTANTIATED and to remove confidential information.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME
:
Eva M Alvarez
LICENSING EVALUATOR NAME
:
Deborah Lee
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/30/2025
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
Control Number
18-AS-20220722113442
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:
COOL MEADOW CARE
FACILITY NUMBER:
331880585
VISIT DATE:
09/16/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
SUPERVISORS NAME
:
Eva M Alvarez
LICENSING EVALUATOR NAME
:
Deborah Lee
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/16/2025
LIC9099
(FAS) - (06/04)
Page:
2
of
3
Control Number
18-AS-20220722113442
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:
COOL MEADOW CARE
FACILITY NUMBER:
331880585
VISIT DATE:
09/16/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
SUPERVISORS NAME
:
Eva M Alvarez
LICENSING EVALUATOR NAME
:
Deborah Lee
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/16/2025
LIC9099
(FAS) - (06/04)
Page:
3
of
3