336423957-5-1-2026-56-AS-EMAN-DVHPFG-20260629111640

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336423957
Report Date: 05/01/2026
Date Signed: 05/01/2026 12:02:28 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
04/28/2026 and conducted by Evaluator Mary Rico

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260428104952

FACILITY NAME:	ADORABLE HOME V		FACILITY NUMBER:	336423957
ADMINISTRATOR:	ROBERT C. CANTORIA		FACILITY TYPE:	740
ADDRESS:	7925 SADDLETREE COURT		TELEPHONE:	(951) 496-3238
CITY:	CORONA	STATE: CA	ZIP CODE:	92880
CAPACITY:	6	CENSUS: 6	DATE:	05/01/2026
		UNANNOUNCED	TIME BEGAN:	08:53 AM
MET WITH:	Staff- Jennifer Rodriguez Lizeth Alonzo		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff does not ensure resident is hydrated.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegation listed above. LPA met with staff Jennifer Rodriguez and House Manager Lizeth Alonzo and explained the purpose of the visit. The Administrator was also contacted and informed about today’s visit. The investigation consisted of staff interviews, resident interviews, facility tour and record review.

For allegation, Staff does not ensure residents are hydrated. During staff interviews, three out of the three staff stated that hydration is provided to all residents. During resident interviews, four out of the five residents stated that hydration is provided. One out of the five residents was unable to collaborate on the above allegations listed above. During facility tour LPA observed the facility had water and drinks for residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
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)

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Control Number 56-AS-20260428104952

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: ADORABLE HOME V	FACILITY NUMBER: 336423957
	VISIT DATE: 05/01/2026

NARRATIVE

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Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations 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, and this report (LIC9099) was discussed and provided to House Manager Lizeth Alonzo.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
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)

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