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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880681
Report Date: 06/23/2021
Date Signed: 06/23/2021 01:05:21 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
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/03/2020 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20200803114859
FACILITY NAME:SUNSHINE BOARD & CAREFACILITY NUMBER:
361880681
ADMINISTRATOR:HAMED, NAJEHFACILITY TYPE:
740
ADDRESS:720 N LINDEN AVETELEPHONE:
(786) 219-6008
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:12CENSUS: 11DATE:
06/23/2021
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Yusef Nofal - Substatute AdministratorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
The facility smells malodorous
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Crystal Colvin arrived to initiate an investigation into the above complaint allegations. LPA Colvin met with Substitute Administrator Yusef Nofal. LPA Colvin advised Yusef of the purpose of the visit.

Regarding allegation "The facility smells malodorous": Throughout the investigation, LPA Colvin interviewed several residents at the facility regarding their opinion on the smell of the facility. Almost all residents denied any unpleasant smell at the facility. During today's inspection, LPA Colvin toured numerous parts of the facility, including common areas and several resident bedrooms, and did not observe any malodorous scent. Therefore, based on interviews and LPA Colvin's observations, the allegation of "The facility smells malodorous" is UNSUBSTANTIATED.

A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Crystal Colvin
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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