335530134-4-30-2026-56-AS-NBRN-DWDQ8D-20260727115633

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 335530134
Report Date: 04/30/2026
Date Signed: 04/30/2026 02:02:09 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
04/21/2026 and conducted by Evaluator Beena Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260421084324

FACILITY NAME:	GARDENS OF RIVERSIDE, THE		FACILITY NUMBER:	335530134
ADMINISTRATOR:	GARCIA, GRISELDA "GRACIE".		FACILITY TYPE:	740
ADDRESS:	10849 ARLINGTON AVENUE		TELEPHONE:	(951) 637-8844
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92505
CAPACITY:	98	CENSUS: 81	DATE:	04/30/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Facility Administrator Griseld Gracie Garcia		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not administer resident's medications as prescribed.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Facility Administrator Griseld Gracie Garcia and discussed the purpose of the visit.

Regarding Allegation:- Staff did not administer resident's medications as prescribed.
LPA Singh did a walk through of the facility and conducted interviews with Staff and residents.
Five(5) out of five(5) Residents and Five(5) out of Five(5) Staff stated that staff administer medications to residents as prescribed and residents does not have any issues with the medications and residents always gets their medications on time.

Licensing Program Analyst (LPA) Singh conducted a comprehensive records review for Resident #1, focusing on the individual's Medication Administration Records (MARs) and physician reports.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

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-20260421084324

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: GARDENS OF RIVERSIDE, THE	FACILITY NUMBER: 335530134
	VISIT DATE: 04/30/2026

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

Licensing Program Analyst (LPA) Singh conducted a comprehensive records review for Resident #1, focusing on the individual's Medication Administration Records (MARs) and physician reports.

The review confirmed that the resident’s documentation was accurate and consistent with medical evaluations, noting no discrepancy. Furthermore, the findings indicated that all records were maintained in accordance with physician orders, and medications morphine was administered exactly as prescribed every two hours as needed.

Based on LPA’s observations, staff and resident interviews, and relevant documentation, the allegations are determined to be Unsubstantiated. An Unsubstantiated finding means that although the allegations may be valid or could have occurred, there is insufficient evidence to support that the alleged violations did or did not happen.

An exit interview was conducted with Facility Administrator Griselda 'Gracie' Garcia, and a copy of this report was provided at the conclusion of the visit.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2