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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 07/23/2025
Date Signed: 07/23/2025 03:01:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
06/12/2025 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250612131659
FACILITY NAME:SAVANT OF JURUPA VALLEYFACILITY NUMBER:
335530032
ADMINISTRATOR:PATRICK L. MCADOO-MORTONFACILITY TYPE:
740
ADDRESS:5881 EL PALOMINO DRIVETELEPHONE:
(951) 683-3333
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:197CENSUS: 144DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Marc PaciaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not ensure resident did not have access to knives
Staff did not report incident to CCL or other reporting agencies
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an announced complaint visit to the facility. LPA met with Executive Director, Marc Pacia.

Regarding the allegation, staff did not ensure resident did not have access to knives, interviews with staff, resident #2 (R2), and document reveal, on 06/05/2025, resident #1 (R1) pulled out a pocketknife and verbally threaten resident #2 (R2). R2 informed staff. Staff secured the knife from R1 and called law enforcement. R2 stated that there has been no other altercation with R1 since the 06/05/2025 incident. R1 was not at the facility to be interviewed regarding the incident. In addition there is not enough information as to how R1 obtained the pocketknife.

Regarding the allegation, staff did not report incident to CCL or other reporting agencies, an incident report was provided to community care licensing regarding the incident that occurred on 6/05/2025 between R1 and R2. As to reporting to other agencies, LPA made attempts to contact outside parties for further clarification and received no response.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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 56-AS-20250612131659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SAVANT OF JURUPA VALLEY
FACILITY NUMBER: 335530032
VISIT DATE: 07/23/2025
NARRATIVE
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Based on observations, document review, and interviews with staff and resident, the allegation is Unsubstantiated. A finding of Unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and a copy provided with appeal rights to Executive Director, Pacia at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2