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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 01/17/2024
Date Signed: 01/17/2024 03:40:25 PM

Unsubstantiated


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
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/10/2024 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240110151908
FACILITY NAME:SAVANT OF JURUPA VALLEYFACILITY NUMBER:
335530032
ADMINISTRATOR:PATRICK L. MCADOO-MORTONFACILITY TYPE:
740
ADDRESS:5881 EL PALOMINO DRIVETELEPHONE:
(951) 683-3333
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:197CENSUS: 144DATE:
01/17/2024
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Patrick McAdoo-Morton, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff harassing resident of monthly payments.

Staff disclosing residents personal information in presence of other residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with Executive Director McAdoo-Morton and explained the elements of the complaint.

Regarding the allegation that staff harassing resident of monthly payments; staff #1 interview revealed that a discussion with resident #1, in question, is on a monthly plan, and monies are in the rears. Those monies are due and a discussion of collection of those fees were a necessary discussion. Documentation obtained by LPA Prieto reveal the R1 is in the rears. R1 stated that monies are past due.

**** continued on LIC 9099 ****
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
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-20240110151908
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
, CA 92507
FACILITY NAME: SAVANT OF JURUPA VALLEY
FACILITY NUMBER: 335530032
VISIT DATE: 01/17/2024
NARRATIVE
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Regarding the allegation that staff disclosing residents personal information in presence of other residents; interviews with Executive Director McAdoo-Morton and S1 states that R1 was afforded the opportunity to speak in private and R1 did not want the discussion of payments, or other house rules, to be made in private. R1 understands that there is a need for privacy for discussions, relating to fees, are required, and agrees that those discussions were afforded in relation to privacy.

Based on the information obtained there is not enough evidence that staff harassing resident of monthly payments and staff disclosing residents personal information in presence of other residents. Therefore, the allegations are deemed UNSUBSTANTIATED at this time.

This report was signed by LPA Prieto and Executive Director McAdoo-Morton and a copy was left at the facility.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2