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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880924
Report Date: 10/22/2021
Date Signed: 10/22/2021 12:16:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/18/2021 and conducted by Evaluator Stephanie Torres
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210818134318
FACILITY NAME:CITRUS PLACEFACILITY NUMBER:
331880924
ADMINISTRATOR:SPENCER, LORIFACILITY TYPE:
740
ADDRESS:7898 CALIFORNIA AVENUETELEPHONE:
(951) 687-2241
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:140CENSUS: 105DATE:
10/22/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lori Spencer, Executive DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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9
Facility staff are not allowing resident to receive mail and packages
Facility staff are not allowing resident to go out into the community
Facility staff are not allowing resident to participate in activities
INVESTIGATION FINDINGS:
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12
13
Licensing Program Analyst (LPA), Stephanie Torres, conducted an unannounced visit to the facility to initiate the investigation into the above allegations. The LPA was greeted by staff, Ykicia Yharbrough, and later met with Executive Director (ED), Lori Spencer.

Regarding the allegation, "Facility staff are not allowing resident to receive mail and packages," it was alleged the facility is not allowing Resident One (R1) to receive food deliveries, mail and packages from third parties known to the resident. The LPA initiated the investigation on August 24, 2021; the LPA conducted staff/resident interviews, reviewed records and took copies of pertinent documentation. ED Spencer was interviewed and denied the allegation. R1 was interviewed and denied the allegation. R1 is diagnosed with a health condition which impacts the reliability of their statement. Additional information, such as receipts, for the alleged deliveries, mail, and packages was not obtained. Therefore, due to insufficient information, this allegation is deemed UNSUBSTANTIATED at this time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Stephanie Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
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-20210818134318
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CITRUS PLACE
FACILITY NUMBER: 331880924
VISIT DATE: 10/22/2021
NARRATIVE
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Pertaining to the allegation, "Facility staff are not allowing resident to go out into the community," it was alleged facility staff are not allowing R1 to go out into the community to go shopping. ED Spencer was interviewed and denied the allegation. R1 was interviewed and denied the allegation. R1 is diagnosed with a health condition which impacts the reliability of their statement. Therefore, due to a lack of information, this allegation is deemed UNSUBSTANTIATED at this time.

With regard to the allegation, "Facility staff are not allowing resident to participate in activities," it was alleged staff are not permitting R1 to participate in activities at an independent living located across the street from the facility. ED Spencer was interviewed and reported residents of the facility are permitted to participate in activities at the independent living, including R1. Staff interviews reported R1 is permitted and has participated in activities at the independent living. R1 was interviewed and denied the allegation. R1 is diagnosed with a health condition which does impact the reliability of their statement. Therefore, due to insufficient information, this allegation is deemed UNSUBSTANTIATED at this time.

A finding the complaint is unsubstantiated means although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the alleged violations occurred.

An exit interview was conducted with Spencer; this report was reviewed, and a copy provided.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Stephanie Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/18/2021 and conducted by Evaluator Stephanie Torres
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210818134318

FACILITY NAME:CITRUS PLACEFACILITY NUMBER:
331880924
ADMINISTRATOR:SPENCER, LORIFACILITY TYPE:
740
ADDRESS:7898 CALIFORNIA AVENUETELEPHONE:
(951) 687-2241
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:140CENSUS: 105DATE:
10/22/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lori Spencer, Executive DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are not maintaining resident's grooming needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Stephanie Torres, conducted an unannounced visit to the facility to initiate the investigation into the above allegations. The LPA was greeted by staff, Ykicia Yharbrough, and later met with Executive Director (ED), Lori Spencer.

Pertaining to the allegation, "Facility staff are not maintaining resident's grooming needs," it was alleged R1's hair was down to their shoulders and appeared homeless and disheveled. ED Spencer was interviewed and denied the allegation. R1 was interviewed and reported no concern regarding the length of their hair or neglect of their grooming needs. R1 is diagnosed with a health condition which impacts the reliability of their statement. The LPA observed the resident one two (2) separate occasions and did not observe the resident to appear disheveled. Therefore, due to a lack of information, this allegation is deemed UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. This report was reviewed with Spencer and a copy provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Stephanie Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3