Complaint·August 6, 2025

It was reported, on or about May of 2025, that Licensee did not live at the licensed facility on 36651 Cordoba Trail, Beaumont, CA 92223. LPAs reviewed pertinent documentation and noted that Licensee Tatiana Williams had a different address listed on their current Driver\342\200\231s License that did not match the licensed facility address. Additionally, the department has on file signed declarations from Licensee Xerian Williams and Licensee Tatiana Williams, dated 05/15/2024, which state that each Licensee would be updating their Driver\342\200\231s Licenses to reflect the 36651 Cordoba Trail address. As of today\342\200\231s date, Licensee Tatiana Williams\342\200\231 Driver\342\200\231s License has not been updated. LPAs conducted interviews with pertinent parties who stated that Licensee Tatiana Williams does not live at the facility and instead has another place of residence. Licensee Tatiana Williams stated that they live at the currently licensed facility but also stated that they have a secondary place of residence they attend on a regular basis. Based on information obtained during this investigation through interviews conducted and the review of pertinent documentation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC9099D. See LIC9099-D for cited deficiency. Additionally, LPAs also reminded Licensee Xerian Williams that, before receiving their license, all applicants are made aware of their responsibility to live in the home where care is provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Licensee Xerian Williams and Licensee Tatiana Williams.