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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800063
Report Date: 05/14/2025
Date Signed: 05/14/2025 01:53:53 PM

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
12/05/2022 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20221205153848
FACILITY NAME:GARDENS OF RIVERSIDE, THEFACILITY NUMBER:
331800063
ADMINISTRATOR:STEPHANIE ODENFACILITY TYPE:
740
ADDRESS:10849 ARLINGTON AVETELEPHONE:
(951) 637-8844
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY:0CENSUS: 87DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Executive Director/administrator Griselda Gracie GarciaTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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9
Due to lack of care and supervision treatment for resident bruising was delayed.
The facility is not providing resident assistance with hygeine and grooming care.
Licensee not safeguarding resident's personal property
INVESTIGATION FINDINGS:
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On 5/14/2025, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility to conduct a complaint investigation and deliver the findings regarding the above allegations. LPA Singh met with Executive Director/administrator Griselda Gracie and discussed the purpose of the visit. During the investigation, LPA toured the facility, obtained pertinent documents, interviewed staff, and residents.

First Allegation: Due to lack of care and supervision treatment for resident bruising was delayed
Regarding the allegation that Due to lack of care and supervision treatment for resident bruising was delayed, all five (5) staff interviews deny that staff neglect or there is lack of care and supervision to the resident in care. All five (5) resident interviewed deny that staff neglect or there is lack of care and supervision to the resident in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
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-20221205153848
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: 05/14/2025
NARRATIVE
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The allegation of Due to lack of care and supervision treatment for resident bruising was delayed is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

Second Allegation: The facility staff is not providing resident assistance with hygiene and grooming care.

Regarding the allegation that staff is not providing resident assistance with hygiene and grooming care., all five (5) staff interviewed deny the allegation staff is not providing resident assistance with hygiene and grooming care. All five (5) residents interviewed deny the allegation that staff not providing resident assistance with hygiene and grooming care.

The allegation of staff is not providing resident assistance with hygiene and grooming care is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.



Third Allegation: Licensee not safeguarding resident's personal property

Regarding the allegation that Licensee/staff not safeguarding resident's personal property, all five (5) staff interviews deny staff not safeguarding resident's personal property and/or witnessing staff mishandle resident's personal property. All five (5) resident interviews deny that staff not safeguarding resident's personal property and do not agree with the above allegations.


The allegation of Licensee/staff not safeguarding resident's personal property is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 56-AS-20221205153848
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: 05/14/2025
NARRATIVE
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5
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 Based on the evidence, the allegation mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Executive/Administrator Griselda Gracie Garcia.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3