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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426756
Report Date: 11/17/2025
Date Signed: 11/17/2025 01:27:30 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
10/14/2025 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20251014154002
FACILITY NAME:CARING TEAM HOME CAREFACILITY NUMBER:
366426756
ADMINISTRATOR:CLEMONS, NORAFACILITY TYPE:
740
ADDRESS:9736 11TH AVE.TELEPHONE:
(760) 998-2108
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:6CENSUS: 5DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Nora ClemonsTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not assist residents with their care needs in a timely manner.
Staff yelled at a resident.
Staff engaged in an altercation in the presence of a resident.
Staff did not respond to communications from resident's representative in a timely manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation on the above allegations. LPA met with Administrator, Nora Clemons, and discussed the purpose of the visit. The investigation consisted of interviews with pertinent parties and document review.

Regarding allegation #1, staff did not assist residents with their care needs in a timely manner, three (3) staff interviewed denied they did not assist residents with their care needs in a timely manner. Three (3) out of four (4) residents interviewed denied that staff did not assist them with their care needs in a timely manner.

Regarding allegation #2, staff yelled at a resident, three (3) staff interviewed denied that they yelled at residents. Three (3) out of four (4) residents interviewed deny that staff yelled at them.

Regarding allegation #3, staff engaged in an altercation in the presence of a resident, three (3) staff interviewed denied engaging in an altercation in the presence of a resident. **continued on LIC9099C**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
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-20251014154002
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CARING TEAM HOME CARE
FACILITY NUMBER: 366426756
VISIT DATE: 11/17/2025
NARRATIVE
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Four (4) residents interviewed denied that staff engaged in an altercation in their presence.

Regarding allegation #4, staff did not respond to communications from resident’s representative in a timely manner, three (3) staff interviewed denied not responding to communications from resident's representative in a timely manner. Interviews with four (4) resident reveals insufficient evidence to corroborate that staff did not respond to communications from resident’s representative in a timely manner.

Based on the Department’s investigation, the allegations mentioned in this report are Unsubstantiated. Unsubstantiated meaning that 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.

An exit interview was conducted were this report was discussed and a copy provided with appeal rights was provided to Administrator Clemons.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2