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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880774
Report Date: 05/12/2025
Date Signed: 05/12/2025 10:05:49 AM

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
03/19/2021 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210319160235
FACILITY NAME:RAINCROSS AT RIVERSIDEFACILITY NUMBER:
331880774
ADMINISTRATOR:BROWN, TERRYFACILITY TYPE:
740
ADDRESS:5232 CENTRAL AVENUETELEPHONE:
(951) 785-1200
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:120CENSUS: 69DATE:
05/12/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Facility Executive Director Mary McclureTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Resident has a suspicious head injury.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on a complaint alleging Resident #1 (R1) sustained a head injury due to neglect. LPA Singh met with Facility Staff and was granted entry into the facility. Facility Executive Director Mary Mcclure, facility representative arrived during this visit. LPA singh introduced herself and stated the purpose of this visit to the facility representative- Executive director-Mary Mcclure The investigation conducted by LPA Singh consisted of interviews and records review.

Based on the information gathered, LPA Singh was not able to find sufficient evidence to corroborate the allegation listed above. Resident had an unwitnessed fall, Med-tech was called, bodycheck done, noted laceration to left forehead and first aid rendered. Interviews with facility staff and R1’s family did not disclose any concerns regarding R1’s head injury. In addition, R1’s family indicated the facility provided R1 adequate care while living at the facility. Statements, records, and interviews obtained did not provide sufficient information to corroborate the allegation.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Beena Singh
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2025
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 2
Control Number 18-AS-20210319160235
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: 05/12/2025
NARRATIVE
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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: Beena Singh
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2