335530032-3-13-2026-56-AS-KCLS-DWEMSV-20260728095234

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 03/13/2026
Date Signed: 03/13/2026 11:41:44 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/12/2026 and conducted by Evaluator Javier Prieto

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260312084407

FACILITY NAME:	SAVANT OF JURUPA VALLEY		FACILITY NUMBER:	335530032
ADMINISTRATOR:	PATRICK L. MCADOO-MORTON		FACILITY TYPE:	740
ADDRESS:	5881 EL PALOMINO DRIVE		TELEPHONE:	(951) 685-3333
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92509
CAPACITY:	197	CENSUS: 140	DATE:	03/13/2026
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Marc Pacia, Executive Director		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not order resident's medications in a timely manner
Staff did not respond to the resident's signal system in a timely manner
Staff did not prevent residents from smoking inside the facility
Staff did not order a new wheelchair for resident in care
Staff did not dispense medications as prescribed

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA met with Executive Pacia and explained the elements of the complaint. LPA interviewed resident and staff during this investigation.

Allegation #1 - LPA Prieto interviewed resident #1 (R1), in question, who states that medications are ordered through his insurance company and understands that there may be a delay when there is a a change with his pharmacy. Staff #1 (S1) documents contact with R1's pharmacy and the delay that occurred due to a change in pharmacy.

Allgation #2 - LPA Prieto intervied R1 in his room at time of investigation. During this time, med tech entered the room, cleared R1's pendant and prepared to dispense medication. LPA asked how long it took staff to respond to the call. R1 stated 10 minutes. LPA toured the room with Businees Office Manger (S2) who state that pendant was pressed and staff responsed, as another staff was in the room when LPA entered.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

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 2

Control Number 56-AS-20260312084407

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: SAVANT OF JURUPA VALLEY	FACILITY NUMBER: 335530032
	VISIT DATE: 03/13/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

S2 states that R1 does communicate with her and he calls her cell phone directly for any needs.

Allegation #3 - S1 produced a recent reminder to resident's at the facility, that resident's who smoke must do so in designated areas. S1 also provided LPA with a copy of the facility house rules that smoking is not permitted at the community unless in a designated area. Copies of this documentation was obtained during this investigation.

Allegation #4 - LPA interviewed R1 who stated that his wheelchair is working condition and has requested a new chair from his Durable Medial Equipment (DME) company. S1 confirmed with LPA that medical equipment is order from the company, through the resident's themselves.

Allegation #5 - LPA interview with R1 states that his medications are being dispensed ad prescribed, as they were being dispensed to R1 at time of visit. S1 provided LPA with R1's progress notes indicating the dispensing of R1's medications.

Based on the information obtained there is not enough evidence to substantiate the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Pacia and a copy was left with the facility.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2