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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336412353
Report Date: 03/28/2026
Date Signed: 03/28/2026 04:53:48 PM

Unsubstantiated


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
10/23/2023 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20231023134602
FACILITY NAME:BENSON HOUSE, INC #12FACILITY NUMBER:
336412353
ADMINISTRATOR:AURORA ARZATEFACILITY TYPE:
735
ADDRESS:44840 SAN BENITOTELEPHONE:
(760) 346-5409
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:6CENSUS: 4DATE:
03/28/2026
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Maria Tinta, lead staffTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff is not provide client's medication as prescribed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the investigation for the allegation listed above. LPA arrived unannounced and met with staff, Maria Tinta. The purpose of the visit was explained.

The investigation consisted of the following:
On 10/31/23, LPA C. Nwogene conducted the initial visit. The LPA toured the facility, interviewed staff, and reviewed client files. It was determined that the allegation needs a further investigation at that time. During the visit today, LPA Chan interviewed five (5) staff, four (4) clients, and reviewed medications.

The investigation revealed the following:
Allegation - Staff is not providing client’s medication as prescribed. It was alleged that staff did not fill Client #1’s (C1) prescribed medication in October of 2023.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2026
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 18-AS-20231023134602
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: BENSON HOUSE, INC #12
FACILITY NUMBER: 336412353
VISIT DATE: 03/28/2026
NARRATIVE
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LPA spoke with a representative from the Inland Regional Center who stated that their investigation for this allegation was deemed unsubstantiated. C1 is no longer residing at the facility.
During the visit today, LPA interviewed staff who stated that there have not been any issues with obtaining refills, and clients have been taking their medications as prescribed. Staff stated that the routine medications are delivered by the pharmacy around the 15th of each month. The controlled medications get approved by the doctor each month and refilled timely. Staff also indicated that they do not force the clients to take their medication. LPA interviewed four (4) clients at the facility. They all stated that the staff give them their medication on time and do not force them. LPA reviewed the medication for all the clients, and no discrepancies were found at this time.

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.

An exit interview was conducted with Staff M. Tinta. A copy of this report, along with the appeal rights, was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2