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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881358
Report Date: 01/16/2025
Date Signed: 01/16/2025 11:08:26 AM

Unfounded


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
01/10/2025 and conducted by Evaluator Yolanda Delgado
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250110170006
FACILITY NAME:SUN CITY GARDENSFACILITY NUMBER:
331881358
ADMINISTRATOR:DIANE DOMINGOFACILITY TYPE:
740
ADDRESS:28500 BRADLEY ROADTELEPHONE:
(951) 679-2391
CITY:SUN CITYSTATE: CAZIP CODE:
92586
CAPACITY:74CENSUS: 59DATE:
01/16/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Jose Collado, Executive Director and Barbara Guzman, Business Office DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Wrongful Eviction
Staff are retaliating against resident for complaining
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Yolanda Delgado made an unannounced visit to the facility to investigate a complaint regarding the allegations listed above. LPA met with Executive Director, Jose (Joey) Collado, Barbara Guzman, Business Office Director and explained the purpose of the visit and the elements of the allegations. LPA Delgado conducted the investigation which consisted of interview with staff members, Resident (R#1) and record review.

On January 10, 2025, Community Care Licensing received a complaint stating wrongful eviction and staff are retaliating against resident for complaining. The allegation stated that the resident received a 3-day eviction notice from the facility and the facility is trying to get the resident out due to resident making numerous complaints against the facility. During the LPA’s investigation it revealed that R#1 does not reside in the Assisted Living and does not reside in the Memory Care at the facility. LPA confirmed with R#1 and staff that R#1 resides in the independent living area that is not under the jurisdiction of CCLD.
(Continued on Page 2)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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 18-AS-20250110170006
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: SUN CITY GARDENS
FACILITY NUMBER: 331881358
VISIT DATE: 01/16/2025
NARRATIVE
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(Continued from Page 1)

During the LPA’s interview with Executive Director and Business Office Director, it was concluded that R#1 has never been a resident in the Assisted Living and Memory Care, R#1 is an Independent Living resident.

Based on LPA's observations, records review, and staff interview, this agency has investigated the complaint alleging “wrongful eviction” and "staff are retaliating against resident for complaining" we have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted, and a copy of this report was provided to facility representative.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2