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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881421
Report Date: 07/31/2025
Date Signed: 07/31/2025 12:11:01 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
12/31/2024 and conducted by Evaluator Armando Perez
COMPLAINT CONTROL NUMBER: 18-AS-20241231082009
FACILITY NAME:SMITH ROAD ASSISTED LIVINGFACILITY NUMBER:
331881421
ADMINISTRATOR:LECITA, MA SATCHELFACILITY TYPE:
740
ADDRESS:753 SMITH ROADTELEPHONE:
(951) 927-8178
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:12CENSUS: 9DATE:
07/31/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Office Manager Carisa EstrellesTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Staff did not provide food to resident in care
Staff denied visitation to resident in care
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 allegations. LPA Perez met with House Manager, Carisa Estrelles, where the LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of interviews with staff and witnesses and file reviews.  

On December 31, 2024, Community Care Licensing received a complaint alleging facility staff did not provide food to resident in care and denied visitation to resident. Throughout the investigation, LPA interviewed staff and residents and obtained supportive documentation to aid in determining the findings of the noted allegations. The Department interviewed Resident #1; however, the information obtained did not support of the allegations. LPA attempted to conduct a subsequent interview with R1, but R1 passed away in March 2025. No additional information was able to be obtained due to R1’s passing.

Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
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 3
Control Number 18-AS-20241231082009
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: SMITH ROAD ASSISTED LIVING
FACILITY NUMBER: 331881421
VISIT DATE: 07/31/2025
NARRATIVE
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In regards to the allegation that staff did not provide food to resident in care, it was reported that the facility had food available, but would deprive Resident #1 (R1) of food. It was further reported that R1 would only receive food if they behaved themselves. Information obtained from interview with Licensee, Ma Satchel Lecita, denied making the statement. Licensee stated that facility staff would make every effort to provide a variety of food options to R1, however, R1 would refuse. Licensee indicated that R1 preferred to purchase outside food or their own groceries. Information obtained from additional staff interviews corroborated that food, snacks, and alternative options were provided to residents throughout the day and that R1 would refuse. Information obtained from interview with residents stated that they have not experienced being deprived of food and receive their daily meals on time. Information obtained from additional witnesses indicated they received messages from R1 stating they were being denied food and alternatives Through interview with Additional Witness 1 (AW1), It was reported that they reached out to Licensee to obtain further information, during which the Licensee indicated that R1 would be fed when they behave themselves. Information obtained from AW #2 stated they would take groceries to the facility for R1 because R1 advised that they did not prefer the food choices that were served. Additional information revealed that AW2 reported that they had observed food being served to residents and watched R1 decline the food.

In regards to the allegation that staff denied visitation to a resident in care, it was reported that R1 had a visitor who was denied entry to the facility. The Department interviewed Witness 3 (W3), who stated that during one of their visits to the facility, R1 expressed a desire to donate personal items. W3 confirmed he was not denied entry to visit R1 but made the decision not to accept the donation. Information obtained from interview with Licensee denied that any visitor was denied entry to the facility. It was advised that the facility does have procedures regarding checking in and allowing staff the time to notify residents and roommates that a visitor is present. Information obtained from additional staff interviews corroborated the information. Interview with AW #1 stated they do not recall a time where they or any other visitors were denied entry into the facility. Information obtained through an interview with AW2 also denied they were denied entry into the facility. It was reported that there was incident when they were delivering groceries to R1 and they had to wait for four minutes before the door was opened. During the investigation, LPA conducted a review of records, which included a visitor’s log. Through record review, a visitor’s log was obtained and there were entries documenting visitation to the facility by W2. Information obtained from additional witnesses did not indicate there were any concerns regarding visitation to the facility.

Continued on LIC 9099-C.

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

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20241231082009
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: SMITH ROAD ASSISTED LIVING
FACILITY NUMBER: 331881421
VISIT DATE: 07/31/2025
NARRATIVE
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Based on observation, record review, client, and staff interviews, the allegations that resident was not provided food in care and resident’s visitor was denied entry are Unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted. A copy of this report was provided to facility representative..

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

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3