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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881760
Report Date: 04/09/2026
Date Signed: 04/09/2026 04:25:17 PM

Unfounded


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
03/20/2026 and conducted by Evaluator Jarred Torres
COMPLAINT CONTROL NUMBER: 18-AS-20260320132929
FACILITY NAME:CHARLIE'S ANGELS CARE CACFACILITY NUMBER:
331881760
ADMINISTRATOR:PARKER JR., CHARLESFACILITY TYPE:
740
ADDRESS:22598 MORALIA DRIVETELEPHONE:
(909) 964-8977
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY:6CENSUS: DATE:
04/09/2026
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Administrator, Charles Parker Jr.TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Unlawful eviction.
Staff did not treat resident with respect.
INVESTIGATION FINDINGS:
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On April 9, 2026, Licensing Program Analyst (LPA), Jarred Torres, arrived at the facility unannounced to deliver investigative findings pertaining to the allegations listed above. LPA met with Licensee, Berenice Yaniz, and explained the purpose of the visit. LPA conducted an inspection of the facility. The investigation consisted of interviews with staff, Resident #1 (R1), and additional witnesses. The investigation also included a review of R1's admission agreement. LPA was unable to make contact with R1’s Power of Attorney (POA) to obtain additional information.

On March 20, 2026, Community Care Licensing received a complaint alleging the facility unlawfully evicted a resident and staff did not treat a resident with respect. It was reported that R1 was unlawfully evicted and had their personal rights violated by being disrespected by facility staff.

In regard to the unlawful eviction, it was reported that the facility refused to take R1 back as a client after a hospitalization due to needing a higher level of care. Continued on LIC 9099-C...
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Jarred Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
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 2
Control Number 18-AS-20260320132929
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: CHARLIE'S ANGELS CARE CAC
FACILITY NUMBER: 331881760
VISIT DATE: 04/09/2026
NARRATIVE
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Information obtained from an interview with Assistant Administrator (AA), Elva Rodriguez, denied that the facility was contacted by hospital staff to transport R1 back to the facility from the hospital. AA stated two days after R1 was accepted into the facility, R1’s Power of Attorney (POA), contacted emergency medical services to have R1 transported to the hospital. AA stated R1 was not experiencing any medical issues at the time. AA stated due to a disagreement regarding hospice care, R1’s Responsible Party advised facility staff that R1 would not return to the facility. Information obtained from interview with additional staff corroborated the information. Information obtained from interview with R1 stated they did not feel they were illegally evicted from the facility. R1 stated that their POA decided to move them out of the facility. R1 corroborated that hospital staff did not contact the facility to pick R1 up from the hospital. Information obtained from additional witnesses indicated that no hospital staff contacted AA or any other facility staff to pick R1 up from the hospital. Additional witnesses stated that R1 advised hospital staff that they did not want to return to the facility. Information obtained corroborated that the unlawful eviction allegation was false.

In regard to the allegation that staff did not treat resident with respect, information obtained from AA denied that R1 was treated without respect. AA reiterated that facility staff and R1’s POA had a disagreement regarding hospice care. It was stated that during the disagreement, everyone was treated with respect and professionalism. Information obtained from an interview with R1 stated that they did not experience any issues with the facility staff; however, there was an argument between R1's Power of Attorney (POA) and the facility staff about the hospice agency. R1 expressed that they felt the facility was providing adequate care during their placement. R1 stated that they felt safe at the facility and that facility staff were respectful. Information obtained from additional witnesses stated they did not have any further details regarding if staff treated R1 with respect.

Based on information obtained regarding the allegations that R1 was unlawfully evicted and staff did not treat resident with respect, has been deemed unfounded. This means that the allegation is false, could not have happened, or is without a reasonable basis.

An exit interview was conducted and a copy of this report of findings was provided to Licensee, Berenice Yaniz, whose signature on this form confirms receipt.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Jarred Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2