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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881323
Report Date: 11/25/2025
Date Signed: 11/25/2025 01:36:03 PM

Unfounded


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
11/18/2025 and conducted by Evaluator Seo Jeon
COMPLAINT CONTROL NUMBER: 18-AS-20251118103916
FACILITY NAME:GROVE ASSISTED LIVING, THEFACILITY NUMBER:
331881323
ADMINISTRATOR:MORA, MICHELLEFACILITY TYPE:
740
ADDRESS:3401 LEMON STREETTELEPHONE:
(951) 686-8202
CITY:RIVERSIDESTATE: CAZIP CODE:
92501
CAPACITY:66CENSUS: 61DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Baylor Romney, Operations ManagerTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Staff did not prevent resident from getting financially abused
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to initiate the investigation into the allegation listed above. The LPA met with Baylor Romney, Operations Manager, and informed them of the purpose of the LPA’s visit. The LPA conducted a tour of the interior and exterior areas of the facility, conducted a review of records, obtained, and requested copies of pertinent documentation. LPA interviewed residents and staff. LPA did not observe any health and safety concerns.

On 11-18-2025, Community Care Licensing (The Department) received a complaint report alleging that staff did not prevent resident from getting financially abused. LPA's record review revealed the Resident #1 (R1) is a resident at independent living section of the facility. LPA's record review also revealed the Suspected Abuser (SA) is not a staff member of the facility. LPA determined that the Department does not have regulation over the independent side of the facility where R1 is residing.

Continued on LIC9099-C....
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
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-20251118103916
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: GROVE ASSISTED LIVING, THE
FACILITY NUMBER: 331881323
VISIT DATE: 11/25/2025
NARRATIVE
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Based on information obtained from interviews, and record reviews, the allegation that staff did not prevent resident from getting financially abused is UNFOUNDED. A finding of UNFOUNDED means the allegation could not have happened, is false, and/or is without a reasonable basis.

An exit interview was conducted where a copy of this report was provided.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2