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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336409054
Report Date: 08/04/2022
Date Signed: 08/04/2022 04:26:50 PM

Substantiated


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
07/28/2022 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220728124830
FACILITY NAME:DIAMOND RCFE OF MURRIETAFACILITY NUMBER:
336409054
ADMINISTRATOR:IARISH MARTINEZFACILITY TYPE:
740
ADDRESS:26973 HOLLY GROVE COURTTELEPHONE:
(951) 304-2162
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:6CENSUS: DATE:
08/04/2022
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Administrator, Agnes MartinezTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff mishandled resident's cash resources
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janira Arreola made an unannounced visit to the facility for the purpose of a complaint investigation. LPA was greeted by Agnes Martinez, who informed of the purpose of the visit.
There were (3) staff and (6) residents present at the time of the visit.

LPA reviewed resident records, facility records, and conducted staff and resident interviews pertaining to the investigation. LPA found that the resident's (R1) admission agreement stated that the facility does not handle resident cash resources. Through interview LPA found that the facility does not possess a surety bond to handle resident cash resources. Based on this fact, the allegation of "staff mishandled resident's cash resources" is substantiated. A finding of substantiated means that the proponderance of the evidence standard has been met in order to deliver an investigation finding. Deficiency was documented on attached LIC9099-D.

An exit interview was conducted and a copy of this report, LIC9099-D, and appeal rights were provided to facility admnistrator, Agnes Martinez.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
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-20220728124830
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: DIAMOND RCFE OF MURRIETA
FACILITY NUMBER: 336409054
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2022
Section Cited
CCR
87216(a)
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87216 Bonding
(a) Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal.
This regulation was not met as evidenced by:
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Licensee will provide a written statement stating that the facility will not handle R1's cash resources or any other residents from today's date on. Licensee will submit proof of this correction by the POC date to LPA.
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Based on LPA file review, and administrator interview it was found that the facility is handeling resident money without a surety bond.
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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: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2