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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880774
Report Date: 05/05/2026
Date Signed: 05/05/2026 02:59:54 PM

Unsubstantiated


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
04/23/2024 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20240423144139
FACILITY NAME:RAINCROSS AT RIVERSIDEFACILITY NUMBER:
331880774
ADMINISTRATOR:JUDITH PIERFAXFACILITY TYPE:
740
ADDRESS:5232 CENTRAL AVENUETELEPHONE:
(951) 785-1200
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:120CENSUS: 76DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Carlos EspinoTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility staff are not properly addressing pest infestation in facility
INVESTIGATION FINDINGS:
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On May 5 , 2026, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegation and to deliver findings. The Department was met by Carlos Espino and reason for visit explained
Investigation consisted of the following:
On April 30 2024, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above. During the visit, it was determined that the complaint required further investigation.
On May 5, 2026 The department obtained a copy of the following documents: Staff Roster (dated 3/30/26), Resident Roster (5/1/26) Pest control invoices (3/28,24, 4/12/24, 4/5/24, 4/10/24, and 4/17/24), Consent release confidential information for hospice (7/31/23), Admission Agreement (7/18/23) and Resident rights (7/18/23) The department interviewed Administrator (A1) 5 staff (S1-S4), 4 Residents (R2-R5).

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
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-20240423144139
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: RAINCROSS AT RIVERSIDE
FACILITY NUMBER: 331880774
VISIT DATE: 05/05/2026
NARRATIVE
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The investigation revealed the following:

Allegation: Facility staff are not properly addressing pest infestation in facility

The detail of the complaint alleges there are unknown bites on R1 that the hospice nurse suspected that they came from bed bugs. The facility eventually got R1’s room fumigated but the bed bugs continued to return.

On May 5, 2026 at 12:00pm, the department interviewed Executive Director (A1). A1 informed the department that he has only served that role for 1 month, so he was unable to provide any information regarding the complaint, however he provided the department with pertinent documents related to the complaint.

On May 5, 2026, the department interviewed 5 staff (S1-S5) regarding the allegation. Of those interviewed 5 out 5 denied the allegation stating that the facility address issues regarding pests right away. Additionally, 5 out of 5 stated that there has been only 1 instance of bed bugs at the facility and that was the time related to this complaint. Lastly, 5 out of 5 state that the facility handled the issue with the bedbugs right away and follow any recommendations from the pest control professional.

On May 5, 2026, the department interviewed 4 residents (R2-R5). R1 no longer lives at the facility as she has since passed away. Of those interviewed, 4 out of 4 state that they are well taken care of and if they need assistance, staff is available to them. 4 out of 4 residents state that they have never had issues with bedbugs.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20240423144139
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: RAINCROSS AT RIVERSIDE
FACILITY NUMBER: 331880774
VISIT DATE: 05/05/2026
NARRATIVE
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On May 5 2026, the department reviewed and evaluated the following documents: Staff Roster (dated 3/30/26), Resident Roster (5/1/26) Pest control invoices (3/28,24, 4/12/24, 4/5/24, 4/10/24, and 4/17/24), Consent release confidential information for hospice (7/31/23), Admission Agreement (7/18/23) and Resident rights (7/18/23). The Pest control invoices showed that the facility was actively addressing the bed bug issue.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.

Exit interview conducted with Carlos Espino. No deficiencies cited during today’s visit. Copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3