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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530353
Report Date: 05/01/2026
Date Signed: 05/01/2026 02:46:24 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
09/25/2025 and conducted by Evaluator Becky Mann
COMPLAINT CONTROL NUMBER: 56-AS-20250925120736
FACILITY NAME:VISTA CORONA SENIOR LIVINGFACILITY NUMBER:
335530353
ADMINISTRATOR:GUTIERREZ, ANDREAFACILITY TYPE:
740
ADDRESS:737 MAGNOLIA AVETELEPHONE:
(951) 737-1600
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:180CENSUS: 105DATE:
05/01/2026
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Andrea Perez, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff handled resident in a rough manner
Staff did not properly maintain centrally stored medications
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Andrea Perez, Executive Director and explained the purpose of the visit.
The allegation that Staff handled resident in a rough manner. Five (5) staff interviewed denied handling a resident in a rough manner, they have not grabbed a resident by their arm and squeezed them badly. Nine (9) residents interviewed denied staff handling them in a rough manner, the staff have not grabbed them by their arm and squeezed them badly.

The allegation that Staff did not properly maintain centrally stored medications. Five (5) staff interviewed stated that they do properly maintain centrally stored medications. The five (5) staff denied of any missing medications in the med room. LPA randomly reviewed 4 resident medications to their MAR (Medication Administration Record). Based on LPA observations and record reviews, medication are administered as prescribed by a physician. Nine (9) residents interviewed stated that they have no issues with their medications.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
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-20250925120736
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: VISTA CORONA SENIOR LIVING
FACILITY NUMBER: 335530353
VISIT DATE: 05/01/2026
NARRATIVE
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Based on evidence obtained during this investigation, the allegations above is Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed, and a copy of this report was provided to Executive Director at the conclusion of the visit.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2