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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530134
Report Date: 12/01/2025
Date Signed: 12/01/2025 02:10:04 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
11/24/2025 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20251124154956
FACILITY NAME:GARDENS OF RIVERSIDE, THEFACILITY NUMBER:
335530134
ADMINISTRATOR:GARCIA, GRISELDA "GRACIE".FACILITY TYPE:
740
ADDRESS:10849 ARLINGTON AVENUETELEPHONE:
(951) 637-8844
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY:98CENSUS: 85DATE:
12/01/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Facility Administrator Griselda Gracie GarciaTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Lack of staff supervision resulting in resident eloping from facility.
INVESTIGATION FINDINGS:
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On 12/01/2025, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility for the purpose of initiating an investigation into the above complaint allegation. LPA met with
Facility Administrator Griselda Gracie Garcia and explained the reason for the visit.

For the allegation, Lack of staff supervision resulting in resident eloping from facility.
LPA spoke to Administrator who stated Resident#1 (R1) did not eloped from the facility on 11/22/2025, Administrator reported that Resident in question followed workers from the side gate and staff brought R1 back from the front facility door and informed the family. Administrator stated staff do provide adequate supervision for resident in care and do follow and supervise residents.

LPA interviewed five (5) staff and five(5) out of five stated facility staff supervises residents in care and denies the allegation that lack of staff supervision resulted in resident eloping from facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025
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-20251124154956
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: 12/01/2025
NARRATIVE
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Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and this report (LIC9099) were discussed and provided to Facility Administrator Griselda Gracie Garcia.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2