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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336411349
Report Date: 05/16/2025
Date Signed: 05/16/2025 01:37:44 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
02/20/2024 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240220142149
FACILITY NAME:BENSON HOUSE #7FACILITY NUMBER:
336411349
ADMINISTRATOR:ORALIA WILLIAMSFACILITY TYPE:
735
ADDRESS:910 RIVER DRIVETELEPHONE:
(951) 279-0366
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY:4CENSUS: 4DATE:
05/16/2025
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Facility-adminstrator-Alfred OrizTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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9
Staff withheld residents' money.
Staff did not treat resident with dignity and respect.
Staff did not provide transportation for residents.
Staff did not provide adequate food service.
INVESTIGATION FINDINGS:
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First Allegation: Staff withheld residents' money.
Licensing Program Analysts (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on a complaint alleging Staff hit Resident #1 (R1) LPA Singh met with manager-trainee Priscilla Bacerra, facility representative, and was granted entry into the facility. The Facility administrator-Alfred Ortiz arrived during the visit. The investigation conducted by LPA Singh consisted of interviews and records review.

For the allegation, Staff withheld residents' money.
LPA Singh conducted (2) resident interviews. 2 out of the 2 stated that Staff never withheld residents' money resident#1 or any residents in care and have not witnessed staff hitting any residents in care. 2 clients were out in the community attending day program. LPA Singh conducted (2) staff interviews. 4 out of the 4 staff stated no Staff withheld residents' money and LPA checked P&I records matched, no issues.


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

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
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-20240220142149
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: BENSON HOUSE #7
FACILITY NUMBER: 336411349
VISIT DATE: 05/16/2025
NARRATIVE
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Second Allegation: Staff did not treat resident with dignity and respect.
LPA Singh conducted (2) resident interviews. 2 out of the 2 residents stated that all staff always treat resident with dignity and respect, have not witnessed staff not treating clients with dignity and respect. 2 clients were out in the community attending day program. LPA Singh conducted (4) staff interviews. 4 out of the 4 staff stated no residents in care are treated with dignity and respect.

Third Allegation: Staff did not provide transportation for residents.
LPA Singh conducted (2) resident interviews. 2 out of the 2 stated that there are no issues with the transportation for outings or to day program. LPA Singh conducted (4) staff interviews. 4 out of the 4 staff stated clients never have issues with the transportation as clients go to day program with assigned drivers, if clients like to go for outings facility staff takes them in the facility vehicle. Staff states clients have appointments, outings, work and facility staff takes to these appointments.

Fourth Allegation: Staff did not provide adequate food service.
LPA Singh conducted (2) resident interviews. 2 out of the 2 stated they like food of the facility and have choice of the food or snacks. LPA Singh conducted (4) staff interviews. 4 out of the 4 staff stated clients have menus but have substitutes if clients likes to have some other food options.
Based on the information gathered, LPA Singh was not able to find sufficient evidence to corroborate the allegation listed above. LPA Singh observation, records, and interviews obtained did not provide sufficient information to corroborate the allegations

Based on the evidence found during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted with the facility administrator and Manager-in training Pricilla Bacerra, discussed this report and provided a copy of this report LIC9099.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2