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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336411237
Report Date: 08/20/2025
Date Signed: 08/20/2025 01:21:58 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
12/16/2022 and conducted by Evaluator Valerie Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221216084212
FACILITY NAME:HAPPY NESTFACILITY NUMBER:
336411237
ADMINISTRATOR:CLAIRE ITCHONFACILITY TYPE:
740
ADDRESS:3140 E. VISTA CHINOTELEPHONE:
(760) 318-9973
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:6CENSUS: 6DATE:
08/20/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Staff, Michelle HashimotoTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff member inappropriately touched resident while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Valerie Flores conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA Valerie Flores met with staff, Michelle Hashimoto, and explained the reason for the visit. A tour of the facility ws conducted and LPA did not observe any health and safety concerns.

On 12/16/2022, the Riverside Adult and Senior Care Regional Office (RO) received a complaint regarding a sexual abuse allegation. It was reported that Staff #1 (S1) grabbed Resident #1’s (R1’s) breast while under the care of the facility.

According to the facility file documents reviewed, R1 was admitted to the facility on 11/17/2022 with a diagnosis that includes dementia and was non-ambulatory.

(Continue to (9099C...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
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-20221216084212
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: HAPPY NEST
FACILITY NUMBER: 336411237
VISIT DATE: 08/20/2025
NARRATIVE
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(Continuation from LIC9099)

R1’s Needs and Services Plan includes dementia, and that R1 is bed bound, and chair bed transfer. The plan also indicates R1 required assistance with all activities of daily living (ADLs).

During the Department’s interviews, a relevant party stated R1 had made similar allegations at three different assisted living facilities prior to being admitted to the Happy Nest facility. This relevant party stated those allegations were unfounded. For the current allegation, the relevant party stated they checked R1’s breasts for redness and for injury and found none.

Information obtained from the Licensee and staff interviews stated they were unaware of the allegation until police came to the facility on 12/15/2022. However, the information obtained from the Police Department interviews on 12/15/2022 revealed the Licensee, and staff knew about the allegation for approximately two weeks. During the 12/15/2022 police interview, R1 stated it happened approximately three weeks ago.

A review of the Police Department Incident Report revealed the report was taken on 12/15/2022. The officer interviewed the resident, the licensee, facility staff and a relevant party regarding the allegation. The report indicates no corroborating evidence, and therefore they were unable to substantiate a crime occurred.

R1 alleged that R1 was touched on R1’s breast by S1. According to S2, R1’s primary caregiver, S1 was assisting S2 in changing R1 the day of the alleged incident. S2 claims that S1 never touched R1 inappropriately and was never left alone with R1. S1 stated that S1 assisted S2 with R1’s changing pad but denied touching R1. Interviews from other facility residents revealed they have never observed any inappropriate behavior from S1 and had no concerns regarding the care or supervision provided at the facility. The Department’s investigation did not provide sufficient evidence to substantiate the allegation of sexual abuse of R1. The Department’s investigation concluded that although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation occurred. Therefore, the allegation “is deemed Unsubstantiated at this time.

Exit interview conducted and a copy of this report was provided to Administrator, George Camua.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2