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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366403577
Report Date: 10/27/2025
Date Signed: 10/27/2025 02:49:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
10/22/2025 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20251022155511
FACILITY NAME:CHRISTIAN LIFE & HOME CAREFACILITY NUMBER:
366403577
ADMINISTRATOR:SWANSON, JUDY A.FACILITY TYPE:
740
ADDRESS:1848 S. SHEDDEN DRIVETELEPHONE:
(909) 799-8245
CITY:LOMA LINDASTATE: CAZIP CODE:
92354
CAPACITY:6CENSUS: 6DATE:
10/27/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Administrator Judy SwansonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Illegal Eviction.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Judy Swanson, and discussed the purpose of the visit.

Regarding the illegal eviction allegation, staff informed LPA an eviction notice was issued for Resident #1 (R1) last year on 7/18/24. Staff stated R1's care could no longer be met by staff due to the family requesting 1:1 care. Staff informed LPA the original eviction letter on 7/18/24 was revoked, however a verbal notice was issued again to R1's family and gave the family until 12/21/25 to remove R1. LPA explained to Administrator a formal eviction notice per regulation needs to be issued to R1 responsible parties.

Based on the evidence gathered during the investigation, the above allegation is Substantiated.
A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Title 22 regulations, Eviction Procedures 87224(a)(2) from division 6, chapter, article 6, is being cited on the attached LIC 9099 D.

An exit interview was conducted where this report was discussed along with LIC 9099D, a copy was provided, along with a copy of the appeal rights to Administrator Judy Swanson.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
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 56-AS-20251022155511
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CHRISTIAN LIFE & HOME CARE
FACILITY NUMBER: 366403577
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2025
Section Cited
CCR
87225(a)(5)(A)
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87224 Eviction Procedures
(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)...(5)Change of use of the facility.
(A)The licensee may, upon no less than sixty (60) days written notice, evict a resident due to change of use of the facility.
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The licensee has agreed to read over the "Eviction Procedures" regulation. Licensee has agreed to provide a written statement that indicates the acknowledgement after the review of the regulation. The acknowledgement shall be reviewed and signed by all facility staff associated to the facility. The licensee will send the acknowledgement to LPA via email by POC due date. Licensee will also provide a copy of eviction letter for R1 by POC due date.
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Based on observation and interviews, the licensee did not ensure to follow eviction procedures for residents, which poses a potential Health, Safety, or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2