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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880924
Report Date: 11/23/2024
Date Signed: 11/25/2024 03:06:55 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
05/10/2024 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 18-AS-20240510123439
FACILITY NAME:CITRUS PLACEFACILITY NUMBER:
331880924
ADMINISTRATOR:VICKY TORRESFACILITY TYPE:
740
ADDRESS:7898 CALIFORNIA AVENUETELEPHONE:
(951) 687-2241
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:140CENSUS: DATE:
11/23/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lanea PalmerTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee is not ensuring that staff are sufficient in numbers, qualifications, and competency to meet residents' needs.
Staff yell at residents in care.
Staff are being discouraged from reporting incidents involving residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Kimberly Lyman and Joseph Alejandre conducted an unannounced complaint visit to continue the investigation into the above allegations. LPAs were greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPAs toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as facility schedule. Regarding the allegations that licensee is not ensuring that staff are sufficient in numbers, qualifications, and competency to meet residents' needs, staff yell at residents in care and staff are being discouraged from reporting incidents involving residents in care, the investigation revealed the following: Facility schedule indicates Memory Care runs four caregivers and a med tech for 1st and 2nd shift and two caregivers/ one med tech for NOC shift. Seven out of nine staff interviewed state facility staffing levels are good and resident needs are being met. LPA observed an appropriate level of staff working in the memory care on two different occasions. Staff state checking on the residents every 30 minutes to two hours depending on the resident. Nine out of nine staff confirm receiving training. LPA reviewed CONTINUED ON LIC 9099C DATED 11/25/2024.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2024
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 18-AS-20240510123439
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: CITRUS PLACE
FACILITY NUMBER: 331880924
VISIT DATE: 11/23/2024
NARRATIVE
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select training records and all had documentation of required training hours. Nine out of nine staff interviewed deny caregivers yelling at residents or being abusive in any way. Two residents interviewed deny staff yelling at residents and confirm being treated well. Additional residents in Memory Care were unable to respond to the departments questioning. Facility provided all incident reports requested by the department including those reports for Resident 1 (R1) and R2 outlining any falls that have occurred. Nine out of nine staff deny being told to avoid speaking to the department or not reporting incidents. When conducting interviews with staff, staff was cooperative and communicative in discussions with the department. Based on interviews conducted and records reviewed, LPA is unable to corroborate the allegations. Therefore the allegations are deemed UNSUBSTANTIATED meaning 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 and a copy of this report was provided to facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2