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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426759
Report Date: 04/17/2026
Date Signed: 04/17/2026 11:33:24 AM

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
06/04/2024 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 18-AS-20240604090938
FACILITY NAME:CITRUS GARDENSFACILITY NUMBER:
336426759
ADMINISTRATOR:TRACY LANGENDOENFACILITY TYPE:
740
ADDRESS:25911 STANFORD STTELEPHONE:
(951) 925-7107
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:64CENSUS: 59DATE:
04/17/2026
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Valerie GarciaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff do not ensure residents are provided feeding assistance.
INVESTIGATION FINDINGS:
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On April 17, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Antonine Richard, conducted an unannounced complaint visit. The LPA Richard met with the Executive Director, Valerie Garcia, and the Administrator (A1), Liliana Moreno, and explained the purpose of the visit.

The investigation consisted of collecting records and touring the facility. On April 16, 2026, the Department obtained various documents, including the Personnel Report LIC 500 (dated 04/16/26) and the Resident Roster (dated 04/16/26). The Department reviewed and collected the following documents for the residents (R1-R2): the residents' Admission Agreement, the Physician's Report, the Medical Assessment, the Weekly Scheduled Shower, and the facility's Menu. The Department also interviewed the Administrator (A1), the Executive Director (ED), Four Staff members (S1-S4), and six Residents (R1-R6).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
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 3
Control Number 18-AS-20240604090938
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: CITRUS GARDENS
FACILITY NUMBER: 336426759
VISIT DATE: 04/17/2026
NARRATIVE
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Allegation #1: Staff do not ensure residents are provided feeding assistance.

The complaint alleged that residents in memory care are not fed because staff are slacking off. During lunch, three residents returned their full plates to the kitchen because the staff did not assist. On April 16, 2026, the department conducted interviews regarding an allegation about meal assistance. The Executive Director (ED) and the Administrator (A1) denied the allegation. The Administrator noted that the caregiver is aware of which residents require meal assistance and is present to help during mealtimes.

Additionally, four staff members (S1-S4) were interviewed, all of whom also denied the allegation. They stated that only two residents need help with feeding, and that the caregiver is consistently available at every meal to assist them.

The department then interviewed six residents (R1-R6). Four of the six residents denied the need for assistance with feeding. Although the department attempted to interview R1, R1 was unable to answer the questions. R2, another resident, confirmed that they had not been unassisted during mealtimes and stated that staff assisted R2 with feeding at all times.

Report Continue on LIC9099C

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20240604090938
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: CITRUS GARDENS
FACILITY NUMBER: 336426759
VISIT DATE: 04/17/2026
NARRATIVE
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Finally, the department reviewed the facility's resident Physician Report LIC602A, which indicated that only two residents needed assistance with feeding.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted, and a copy of this report was provided to the Executive Director, Valerie Garcia.

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3