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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881679
Report Date: 10/06/2026
Date Signed: 10/06/2026 01:48:42 PM

Substantiated


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
10/02/2026 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20261002163449
FACILITY NAME:GOLDEN TURTLE ASSISTED LIVINGFACILITY NUMBER:
331881679
ADMINISTRATOR:DAVIS, KOREYFACILITY TYPE:
740
ADDRESS:8285 Tristan LNTELEPHONE:
(626) 324-0898
CITY:RiversideSTATE: CAZIP CODE:
92507
CAPACITY:6CENSUS: 0DATE:
10/06/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:TIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Uncleared adult living in the facility
INVESTIGATION FINDINGS:
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On 10/6/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit for the purpose of launching the complaint investigation into the allegation listed above. Upon arrival, LPA Flores knocked on the front door of the facility and was greeted by Relevant Party #1 (RP1). LPA Flores introduced herself and explained the purpose of the visit. The investigation is summarized as follows:

On 10/2/2026, Community Care Licensing (CCL) received information alleging there is an uncleared adult living in the facility. An interviews with RP1 reported that they have been living in the home for approximately one year. RP1 reports that they were not made aware that the home was a licensed facility until recently. LPA Flores explain to RP1 that if they decided to obtain background clearance and association with the facility, Title 22 Regulations grant the licensing department unannounced inspection authority. A review of Guardian confirmed that RP1 has not been associated to the facility nor has background clearance.

(Continue to LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
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-20261002163449
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: GOLDEN TURTLE ASSISTED LIVING
FACILITY NUMBER: 331881679
VISIT DATE: 10/06/2026
NARRATIVE
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(Continuation from LIC9099)

Therefore, the allegation of uncleared adult living in the facility is deemed substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted via telephone, and a copy of the LIC9099, LIC9099C, LIC9099D, and appeal rights were reviewed and provided to Administrator via email.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20261002163449
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: GOLDEN TURTLE ASSISTED LIVING
FACILITY NUMBER: 331881679
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/20/2026
Section Cited
CCR
87355(e)
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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement was not met with evidence by: Licensee is renting the property out until they receive client placement.
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Administrator agreed to have the person background cleared and associated to guardian. Administrator shall begin the process of background clearing the current residents who are over the age of 18 and submit proof of submission by Close of Business on 10/20/2026 via email.
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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.
SUPERVISOR'S NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3