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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881480
Report Date: 08/12/2025
Date Signed: 08/21/2025 01:44:39 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
05/05/2025 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250505154117
FACILITY NAME:SAVANT OF RIVERSIDEFACILITY NUMBER:
331881480
ADMINISTRATOR:MOLLY BOWIEFACILITY TYPE:
740
ADDRESS:4609 ARLINGTON AVETELEPHONE:
(951) 462-1025
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:232CENSUS: 97DATE:
08/12/2025
UNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Crystal Rulas-Maldonado, Business Office ManagerTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Facility is not meeting a resident's care needs.
INVESTIGATION FINDINGS:
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On 08/12/2025 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the complaint allegation noted above. The LPA met Crystal Rulas-Maldonado, Business Office Manager and explained the purpose of the visit and the elements of the allegation. The allegation was investigated and consisted of interviews and records review.

Regarding the allegation of facility is not meeting a resident’s care needs, it was alleged that Resident #1’s (R1) feet were in need of care as their feet were observed to be swollen and with a toenail falling off. Furthermore, R1’s electric wheelchair had been in need of repair for months, and R1 requested repair multiple times with no assistance. It was alleged that R1’s feet were observed on or about 03/26/2025. R1 denied seeing the doctor as well as denying having any issues with their feet. The LPA conducted a records review of R1’s Charting Notes dated 03/15/2025 and it revealed that R1 was sent out due to sustaining an injury to their toe. The Patient Visit Information dated 03/15/2025 revealed R1 was seen for Hypertrophic toenail and instructions were provided for finger or toe bruise.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
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-20250505154117
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: SAVANT OF RIVERSIDE
FACILITY NUMBER: 331881480
VISIT DATE: 08/12/2025
NARRATIVE
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Regarding R1’s electric wheelchair, R1 could not pinpoint a time frame of when their electric wheelchair had initially broken, but R1 reported it had been broken for some time. The LPA was not able to get a time frame of when the electric wheelchair was broken from the reporting party.

The LPA conducted a records review of Charting Notes for R1 and they revealed that on or around 05/19/2025 R1 was informed of the status of options for the replacement of the electric wheelchair. The investigation could not determine if the facility staff responded timely to R1’s request for assistance on repairs to their electric wheelchair. Per an interview with Olga Martinez Wellness Director, R1 was given a manual wheelchair from their hospice agency sometime last year.

Therefore the allegation is unsubstantiated, a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted where a copy of this report was reviewed and provided to Crystal Rulas-Maldonado, Business Office Manager.
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2