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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403028
Report Date: 09/22/2026
Date Signed: 09/22/2026 06:54:13 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
09/20/2026 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20260920160130
FACILITY NAME:SUNRISE AT CANYON CRESTFACILITY NUMBER:
336403028
ADMINISTRATOR:SEGURA, HEATHERFACILITY TYPE:
740
ADDRESS:5265 Chapala DRTELEPHONE:
(951) 686-6075
CITY:RiversideSTATE: CAZIP CODE:
92507
CAPACITY:88CENSUS: 73DATE:
09/22/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Resident Care Director Tracie EdmondsTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff do not allow persons to speak with resident
INVESTIGATION FINDINGS:
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On 9/22/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of initiating the complaint investigation into the allegation listed above. LPA Flores met with Resident Care Director, Tracie Edmonds, and explained the purpose of the visit. The investigation is summarized as follows:

On 9/20/2026, Community Care Licensing (CCL) received information alleging staff do not allow Resident #1 (R1) to speak with Relevant Party (RP). An interview with RP reports that they spoke with Staff #1 to coordinate a FaceTime call with R1. RP reports that S1 was receptive to setting up the FaceTime call until after speaking with R1's Power of Attorney (POA). RP reports that S1 advise that they could not speak to R1 with the directions of R1's POA. Interview with S1 confirmed that they contacted R1's POA for prior approval. R1's POA was against R1 speaking to RP and instructed facility staff to not allow R1 to speak to RP.

(Continue to LIC9099C...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026
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 18-AS-20260920160130
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUNRISE AT CANYON CREST
FACILITY NUMBER: 336403028
VISIT DATE: 09/22/2026
NARRATIVE
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(Continuation from LIC9099)

Therefore, the allegation of staff do not allow persons to speak with resident is deemed substantiated.A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations Title 22 is being cited on the attached LIC 9099D.

An exit interview was conducted, and a copy of the LIC9099, LIC9099C, LIC 9099D, and appeal rights were reviewed and provided to Resident Care Director, Tracie Edmonds.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026
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
RIVERSIDE 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
09/20/2026 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20260920160130

FACILITY NAME:SUNRISE AT CANYON CRESTFACILITY NUMBER:
336403028
ADMINISTRATOR:SEGURA, HEATHERFACILITY TYPE:
740
ADDRESS:5265 Chapala DRTELEPHONE:
(951) 686-6075
CITY:RiversideSTATE:CAZIP CODE:
92507
CAPACITY:88CENSUS: 73DATE:
09/22/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Resident Care Director, Tracie EdmondsTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff do not safeguard residents personal belongings
INVESTIGATION FINDINGS:
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On 9/22/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of initiating the complaint investigation into the allegation listed above. LPA Flores met with Resident Care Director, Tracie Edmonds, and explained the purpose of the visit. The investigation is summarized as follows:
On 9/20/2026, Community Care Licensing (CCL) received information alleging staff do not safeguard residents personal belongings. Interview with Relevant Party (RP) reports that they suspect Resident #1's (R1) Power of Attorney (POA) to be taking R1's belongings. RP confirmed that they do not suspect facility staff to be associated to what is being alleged against R1's POA.
Therefore, the allegation of staff do not safeguard residents personal belongings is deemed unfounded.A finding of unfounded indicates that the allegation is false, could not have happened, or is without a reasonable basis.
An exit interview was conducted where a copy of this report was provided to Resident Care Director, Tracie Edmonds.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 18-AS-20260920160130
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUNRISE AT CANYON CREST
FACILITY NUMBER: 336403028
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/06/2026
Section Cited
CCR
87468.1(b)
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(b) All residents in all residential care facilities for the elderly shall be protected from all of the actions specified in this subsection. (7) Restrict a resident’s right to associate with other residents or with visitors. This requirement was not met with evidence by: Staff did not all Resident #1 (R1) the ...
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An in-service training will be held pertaining to Residents Personal Rights, Title 22, Section 87468.1. Proof of who was in attendance will be submitted to LPA by close of business on 10/6/2026 via email.
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opportunity to speak with Relevant Party (RP).
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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.
SUPERVISOR'S NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4