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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881116
Report Date: 04/02/2025
Date Signed: 04/02/2025 01:37:10 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
02/19/2025 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250219144802
FACILITY NAME:ELIAA, LLCFACILITY NUMBER:
331881116
ADMINISTRATOR:YOUNES, AMIRRAFACILITY TYPE:
740
ADDRESS:11545 DOVERWOOD DR.,TELEPHONE:
(650) 656-7941
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY:6CENSUS: 2DATE:
04/02/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Facility manager Amirr YounesTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
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9
Facility staff is financially abusing resident.
INVESTIGATION FINDINGS:
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5
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12
13
On 04/2/2025 at 12:45 PM Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings for the above allegations. LPA discussed the purpose of the visit with Facility House manager/Administrator Amirr Younes.

The investigation consisted of interviews and record reviews about the allegation that Facility staff is financially abusing resident:

LPA Singh interviewed five (5) clients and according to five (5) out of five (5) clients, Facility staff is not financially abusing them. R1 denied that staff is financially abusing R1. R1's finances are managed by R1 and family. The family member interviewed confirmed that R1's finances are managed by them and denied any concerns with the facility or its staff financially abusing R1. LPA conducted two (2) separate interviews with R1. Staff denied that the facility is financially abusing residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
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 2
Control Number 56-AS-20250219144802
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ELIAA, LLC
FACILITY NUMBER: 331881116
VISIT DATE: 04/02/2025
NARRATIVE
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Based on the evidence found during the investigation, LPA Singh found the allegations listed above to be Unsubstantiated.

Unsubstantiated: A finding that the complaints are Unsubstantiated means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted, and this report LIC 9099, LIC9099C were discussed and provided to Facility House manager/Administrator Amirr Younes.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2