374604260-4-15-2026-18-AS-RORN-DT7MDG-20260416093106

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604260
Report Date: 04/08/2026
Date Signed: 04/15/2026 11:30:43 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
09/25/2023 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 18-AS-20230925130056

FACILITY NAME:	WEAVER'S TWIN OAKS VILLA		FACILITY NUMBER:	374604260
ADMINISTRATOR:	WEAVER, TONYA		FACILITY TYPE:	740
ADDRESS:	2115 TWIN OAKS VALLEY ROAD		TELEPHONE:	(760) 798-4141
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92069
CAPACITY:	6	CENSUS: 5	DATE:	04/08/2026
		UNANNOUNCED	TIME BEGAN:	08:36 AM
MET WITH:	JULIANE CRUZ		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff not allowing resident to have visitor (s).

INVESTIGATION FINDINGS:

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On April 15, 2026, the department conducted a follow-up visit to amend documents LIC9099 and LIC9099C. The Licensing Program Analyst (LPA), Antonine Richard, met with Assistant Administrator Juliane Cruz to explain the purpose of the visit: to remove confidential names and primary diagnoses from the documents. Additionally, on April 8, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) conducted an unannounced follow-up visit regarding a complaint. During this visit, the LPA met with the Assistant Administrator (AA) and explained that the purpose was to investigate the complaint allegation mentioned earlier. The investigation consisted of the following: The department obtained various documents, including the Personnel Report LIC 500 (dated 06/1/25) and the Resident Roster (dated 06/01/25). The department reviewed and gathered all records for resident R1, including Admission Agreement (dated 09/21/23), Physician Report (dated 12/14/23), Declaration of Temporary Conservator (dated 04/20/23), Temporary Restraining Order (dated 09/21/23), and Letter from R1's Physician (dated 10/20/23). The department interviewed the Power of Attorney (POA), the Administrator (A1), the Assistant Administrator (AA), two staff members (S1-S2), and five residents (R2-R6).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026

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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Control Number 18-AS-20230925130056

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: WEAVER'S TWIN OAKS VILLA	FACILITY NUMBER: 374604260
	VISIT DATE: 04/08/2026

NARRATIVE

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Allegation #1: Staff not allowing residents to have visitor(s).

The complaint alleged that the staff informed a family member that there is a restraining order against them and that they are not allowed to speak to or visit a resident (R1). On October 3, 2023, the department interviewed the Administrator (A1), who denied the allegation. A1 stated that the facility did not allow a family member (FM) to visit R1 due to a temporary restraining order issued against the FM. A1 also advised the FM to contact the Power of Attorney (POA/Conservator) regarding the order.

On April 8, 2026, the department interviewed the Assistant Administrator (AA), who also denied ever denying any family member the opportunity to visit a resident. AA stated that the facility would refuse a family member's visit only if the resident specifically requested that particular family member not be allowed to visit, or if the conservator or the POA had issued a restraining order.

On the same day, the department interviewed two staff members (S1 and S2), both of whom denied the allegations and stated that the facility had not denied any residents' visitors. They clarified that a resident's visitor would only be denied entry if the resident requested that specific visitor not be allowed.

Additionally, on April 8, 2026, the department interviewed five residents (R2-R6). Out of these, two residents stated that the facility had not denied visitors to them, while three could not answer any questions due to cognitive impairment.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20230925130056

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: WEAVER'S TWIN OAKS VILLA	FACILITY NUMBER: 374604260
	VISIT DATE: 04/08/2026

NARRATIVE

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The department also interviewed the POA, who confirmed they filed a temporary restraining order against an FM to protect R1 from financial and emotional abuse. The department reviewed R1's records and confirmed that a restraining order was filed on September 21, 2023. Additionally, a Declaration of Temporary Conservator was established on April 20, 2023 (POA), for the resident's R1. The department was unable to interview R1 because R1 passed away on 12/25/2023.

Although the allegation may have happened or is valid, there is not a preponderance 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 the report was provided to Assistant Administrator Juliane Cruz.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026

LIC9099 (FAS) - (06/04)

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