<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423909
Report Date: 04/25/2023
Date Signed: 04/25/2023 12:24:57 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/04/2021 and conducted by Evaluator Rayshaun Nickolas
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210104123431
FACILITY NAME:CAMPBELL'S LOVING HOME CARE INC.FACILITY NUMBER:
336423909
ADMINISTRATOR:CHARLES CAMPBELLFACILITY TYPE:
740
ADDRESS:18 NAPOLEON RD.TELEPHONE:
(760) 324-9947
CITY:RANCHO MIRAGESTATE: CAZIP CODE:
92270
CAPACITY:6CENSUS: 5DATE:
04/25/2023
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Lalaine Campbell, LicenseeTIME COMPLETED:
12:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility illegally evicted resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced to deliver the finding on the above allegation. LPA met with Licensee Lalaine Campbell and explained the purpose of the visit. This allegation was investigated by department staff.

The allegation alleged that resident #1 (R1) has lived in the facility for five (5) years. The allegation alleged that on December 30, 2020, R1 was sent to the hospital, and the facility refused to take R1 back. The allegation alleged that the reporting party (RP) did not receive an eviction notice for R1. Department staff interview with the Licensee revealed that R1 does not live at this facility but at another facility that the Licensee owns. Department staff file review confirmed that R1 did not reside at this facility but at another facility that the Licensee owns.

This agency has investigated the complaint allegations. We have found that the complaint was unfounded meaning that the allegations were false, could not have happened and/or are without a reasonable basis. We have therefore dismissed the complaint.

Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Rayshaun Nickolas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
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