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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880924
Report Date: 04/15/2026
Date Signed: 04/15/2026 01:52:34 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
07/09/2025 and conducted by Evaluator Armando Perez
COMPLAINT CONTROL NUMBER: 18-AS-20250709080828
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: 95DATE:
04/15/2026
UNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Executive Director Megan BlacherTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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Staff hit resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Executive Director Megan Blacher, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and witnesses, file reviews and observations.

On July 9, 2025, Community Care Licensing Division (CCLD) received a complaint alleging facility staff hit resident. Additional Witness 1 AW1 reported they responded to a call alleging staff 1 (S1) hit R1’s hand. AW1 reported no bruising was observed on R1 and that the incident was documented. Interview, Executive Director Megan Blacher confirmed that she received a call regarding the incident and instructed management to follow proper procedures. ED stated that R1 was assessed, the alleged staff member was removed from duty pending an investigation, witness statements were obtained, and the required reporting was completed to law enforcement, Community Care Licensing Division (CCLD), and the Long-Term Care Ombudsman.
Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
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 3
Control Number 18-AS-20250709080828
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: 04/15/2026
NARRATIVE
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Interviews with two of two staff members corroborated ED’s statements, confirming that the response was immediate, including placing S1 on leave and notifying the family and appropriate enforcement agencies. Interview with R1’s responsible party acknowledged receiving notice of the incident. Furthermore, RP emphasized they observed facility staff to treat R1 well. RP did not have any further concerns with the treatment of R1 at the facility. Attempts were made to interview S1, however, S1 did not respond to calls. A review of records was obtained and a statement made by S1 reported that R1 had a utensil in their hand that was used to hit them. S1 acknowledged making contact with R1’s hand, describing it as moving their hand away. Furthermore, reporting documentation were obtained such as Special Incident Report submitted to CCLD, Suspected Elder Abuse Form SOC 341 and law enforcement incident number.

Based on interviews and record reviews, the allegation that facility staff hit resident is substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. This poses a health and safety and or personal rights risk to residents in care. The facility will be cited.

An exit interview was conducted. A copy of this report was provided to Executive Director Megan Blacher, along with a copy of the LIC9099-C, LIC9099D, and Appeal Rights were provided.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 18-AS-20250709080828
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/29/2026
Section Cited
CCR
87468.1
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87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.
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Administrator will conduct an in service training with all employees regarding resident' personal rights and forms of abuse. Administrator will email LPA a copy of the sign-in training sheet as proof by POC date.
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evidenced by: Based on observation and interviews conducted with staff and witnesses, the staff did not ensure R1 was afforded dignity when they were hit on the hand by R1 while in care which poses a potential health, safety, and personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
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