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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530150
Report Date: 01/21/2026
Date Signed: 01/21/2026 02:30:49 PM

Substantiated


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
10/10/2025 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20251010092322
FACILITY NAME:RISING HIGH ARF INCFACILITY NUMBER:
335530150
ADMINISTRATOR:RISIN, DEMETRIAFACILITY TYPE:
735
ADDRESS:24728 ACADIA DRIVETELEPHONE:
(951) 638-5381
CITY:CORONASTATE: CAZIP CODE:
92883
CAPACITY:4CENSUS: 0DATE:
01/21/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:N/ATIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff makes inappropriate comments/profanity towards resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raquel Hernandez was unable to conduct an unannounced visit to deliver findings on the allegations listed above. Administrator Demetria Risin was unable to meet with LPA. LPA called Administrator to deliever findings. Administrator indicated there are (0) clients living at the facility. The investigation consisted of interviews.

For the allegation, Staff makes inappropriate comments/profanity towards resident. LPA conducted (3) staff interviews. Staff #2 (S2) confirmed inappropriate comments and profanity was made to Client #1 (C1). LPA observed voice message indicating inappropriate comments being made to C1 from S2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
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 4
Control Number 56-AS-20251010092322
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: RISING HIGH ARF INC
FACILITY NUMBER: 335530150
VISIT DATE: 01/21/2026
NARRATIVE
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Based on the evidence gathered during today’s investigation, the allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because the preponderance of evidence the standard has been met.

During today’s visit, a deficiency was cited/issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099), LIC9099D, was discussed and emailed to Administrator Demetria Risin along with a copy of the appeal rights.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
10/10/2025 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20251010092322

FACILITY NAME:RISING HIGH ARF INCFACILITY NUMBER:
335530150
ADMINISTRATOR:RISIN, DEMETRIAFACILITY TYPE:
735
ADDRESS:24728 ACADIA DRIVETELEPHONE:
(951) 638-5381
CITY:CORONASTATE: CAZIP CODE:
92883
CAPACITY:4CENSUS: 0DATE:
01/21/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:N/ATIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Neglect/lack of supervision resulted in client injury
INVESTIGATION FINDINGS:
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LPA conducted (3) staff interviews. 3 out of the 3 staff stated no neglect or lack of supervision led to client injury. LPA was unable to conduct interview with Client #1 (C1) due to C1 moving out of facility. LPA attempted to call C1's responsible party multiple times and no response noted. There was not enough evidence to corroborate neglect or lack of superivison occurred.

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 emailed to Administrator Demetria Risin.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 56-AS-20251010092322
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: RISING HIGH ARF INC
FACILITY NUMBER: 335530150
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/28/2026
Section Cited
CCR
80072(a)
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80072 Personal Rights (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
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Licensee stated to read over regulation and terminated S2 from working at the facility. Plan of Correction will be cleared.
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Based on observation and interviews, the licensee did not comply with section cited above by having Staff #2 (S2) speak to Client #1 (C1) inappropriately, which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4