331800063-5-14-2025-56-AS-EMAN-DGXV4F-20250523160616

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800063
Report Date: 02/20/2025
Date Signed: 05/14/2025 10:36:56 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
12/09/2024 and conducted by Evaluator Beena Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20241209154726

FACILITY NAME:	GARDENS OF RIVERSIDE, THE		FACILITY NUMBER:	331800063
ADMINISTRATOR:	GRISELDA T. GARCIA		FACILITY TYPE:	740
ADDRESS:	10849 ARLINGTON AVE		TELEPHONE:	(951) 637-8844
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92505
CAPACITY:	0	CENSUS: 86	DATE:	02/20/2025
		UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Facility Administrator-Griselda T. Garcia		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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First Allegation: - Staff sexually abused residents in care.
Second Allegation: - Staff did not provide proper medication assistance to resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to deliver findings on the allegations listed above. LPA Singh met with Facility administrator Griselda Garcia and explained the purpose of the visit.
Allegation: Staff sexually abused residents in care.
The investigation was conducted by LPA Beena Singh which consisted of observation and interviews with relevant parties. The first allegation indicates that Staff 1 (S1) sexually abused residents in care. During the investigation, LPA Singh was not able to obtain sufficient evidence to corroborate the allegation. Department staff interviewed Resident #1 (R1) and Resident #2 (R2) and both residents did not disclose any sexual abuse. Department staff also interviewed the facility Resident Care Coordinator who indicated there was no concerns with S1’s work ethics or inappropriate behaviors with residents. Department staff reviewed staff #1 (S1) criminal history and found no evidence to support the above allegation. IB also obtained video footage from the reporting party (RP) and additional documents. Statements, records, and video footage obtained did not provide sufficient information to cooperate the allegation of abuse.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025

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 3

Control Number 56-AS-20241209154726

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: GARDENS OF RIVERSIDE, THE	FACILITY NUMBER: 331800063
	VISIT DATE: 02/20/2025

NARRATIVE

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Second allegation, Staff did not provide proper medication assistance to resident in care.

During Facility staff interviews, staff stated they provided resident’s medication and follow physician order as prescribed. LPA Singh interviewed residents and 10 out of 10 residents stated they receive their medications as required and staff assist them in taking their medications.

In addition, Copies of Resident #1 (R1) and Resident #2 (R2) medication records were obtained and reviewed by LPA. Medication records showed that medications were dispense as prescribed and documentation matched current medications.

Based on the evidence found during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 56-AS-20241209154726

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: GARDENS OF RIVERSIDE, THE	FACILITY NUMBER: 331800063
	VISIT DATE: 02/20/2025

NARRATIVE

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Second allegation, Staff did not provide proper medication assistance to resident in care.

During Facility staff interviews, staff stated they provided client’s medication and follow physician order. LPA Singh interviewed clients and 10 out of 10 clients stated they receive their medication and staff helps them in taking medication.

In addition, LPA Singh reviewed client’s medication, verify medication were dispense properly and documentation matched current medications. Copies of Client#1 and client#2 medication administration records were requested and collected from the facility.

Based on the evidence found during the investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099), LIC 9099C,9099C were discussed and provided to Facility administrator Griselda Garcia.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025

LIC9099 (FAS) - (06/04)

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