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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336408394
Report Date: 02/20/2025
Date Signed: 02/20/2025 11:45:52 AM

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
01/23/2025 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250123084659
FACILITY NAME:CUNNINGHAM RESIDENTIAL CARE HOME IIFACILITY NUMBER:
336408394
ADMINISTRATOR:ALICIA CUNINGHAMFACILITY TYPE:
740
ADDRESS:4972 SIERRA VISTATELEPHONE:
(951) 324-1179
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY:12CENSUS: 10DATE:
02/20/2025
UNANNOUNCEDTIME BEGAN:
11:34 AM
MET WITH:Facility Staff-Reden Casela LaymanTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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First Allegation: Staff did not keep the facility free from bug infestation.
INVESTIGATION FINDINGS:
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On 02/20/2025 at 11:34 AM, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver the findings of the above allegation. LPA Singh was greeted and granted entrance by a staff member and LPA Singh met with Facility Staff Redden Casela Layman. LPA Singh identified herself and discussed the purpose of the visit and the elements of the allegation with Staff Reden Casela Layman
The investigation was conducted by LPA Beena Singh. The investigation consisted of observation and interviews with relevant parties. The allegation indicates that staff did not keep the facility free from bug infestation.

During the investigation, LPA Singh did not find evidence to corroborate the allegation. Interviews with Client#1s family also indicated that this facility is very clean, Client#1 loves this place and family stated that they have never seen any roaches or bugs while visiting the facility or Client#1 has never reported seeing any bugs infestation in this facility.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
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-20250123084659
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: CUNNINGHAM RESIDENTIAL CARE HOME II
FACILITY NUMBER: 336408394
VISIT DATE: 02/20/2025
NARRATIVE
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Interviews with six (6) of ten (10) residents indicated that they did not see any roaches in the facility. During the facility visit on 11/07/2024 and 01/23/2025.

LPA Singh toured the facility and observed resident’s bedrooms, lounge, Kitchen, and dining area were clean and free of any bugs or roaches’ infestation.

Based on the evidence, the allegation that staff did not keep the facility free from bug infestation is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099, LIC9099C were discussed and provided to Staff Redden Casela Layman.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2