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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336425787
Report Date: 02/24/2026
Date Signed: 02/24/2026 04:37:50 PM

Document Has Been Signed on 02/24/2026 04:37 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:BEHAVIORAL EDUCATION PROGRAMS-SKYLAND ADULT RESID.FACILITY NUMBER:
336425787
ADMINISTRATOR/
DIRECTOR:		JOSEPH SANTOSFACILITY TYPE:
735
ADDRESS:24518 SKYLAND DRIVETELEPHONE:
(951) 243-9472
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY: 6CENSUS: 5DATE:
02/24/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:05 PM
MET WITH:Rosemarie Reyes, Sr. CaregiverTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
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On 02/19/2026, Licensing Program Analysts (LPA) Ahliah Sharp and Tremayne Barra made an unannounced visit to the facility to conduct a required annual inspection. LPAs were greeted and granted entry by Caregivers Corazon Reyes and Rosemarie Reyes who were informed of the purpose of the visit. Caretakers informed LPA that three (3)clients were present at the facility and one (1) was attending day program and the other one (1) was on an out. The facility has a fire clearance for six (6) non ambulatory clients and serves adults ages 18 through 59.

Upon arrival, LPA Sharp spoke with Administrator Marion Santos, and was advised that a client passed away 10/24/2025 and that she had been trying to notify the Regional Office, but reported she did not receive a call back. Could not recall who the LPA was that she left a message on their voicemail.

LPA toured the facility and reviewed client and staff records. During the tour, LPA observed the facility is made up of a one (1) story home with three (3) client bedrooms, one (1) staff bedroom, one(1) staff bathroom and one (1) client bathroom, a living room, dining room and laundry room and attached garage. All client bedrooms had the required furniture and lighting. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the clients in care. LPA observed that laundry cabinet was filled with clean towels, blankets, and linen, available for the clients; LPA observed that the laundry room also had a locked closet that contained cleaning solutions and disinfectants. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner, color and date coded for easy reference.

Continued on LIC 809C

NAME OF LICENSING PROGRAM MANAGER: Jazmond D Harris
NAME OF LICENSING PROGRAM ANALYST: Ahliah Sharp
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: BEHAVIORAL EDUCATION PROGRAMS-SKYLAND ADULT RESID.
FACILITY NUMBER: 336425787
VISIT DATE: 02/24/2026
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Continued from LIC809

LPA observed knives and sharp instruments secured in locked kitchen cabinet. Caretaker tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed three (3) charged fire extinguishers mounted throughout the facility. Medications are secured in a locked in a kitchen cabinet. LPA reviewed the Medication Administration Record along with the physical medications and discovered no discrepancies. LPA reviewed random client files and observed clients had updated Individual Program Plans and signed admission agreements. The facility conducts the emergency disaster drill each month. LPA reviewed the facility's Fire and Training Earthquake Log and last emergency drill was conducted on 01/20/2026.

LPA reviewed the Record of Client's/Resident's Safeguarded Cash Resources (LIC 405) and Caretaker reviewed the physical monies for four (4) clients, and no discrepancies were discovered. Exit signs, emergency contact information, client's personal rights, and complaint information are visibly posted near the front entrance.



Due to the time, LPA will need to conclude this visit at a later date. An exit interview was conducted, and a copy of this report was reviewed and provided to Administrator Santos.

On 2/24/2026, LPA Sharp returned unannounced with LPAs Abdoulaye Zerbo and Mia Lankford to complete the annual from 2/19/2026 and provide the licensee with the violations and technical deficiencies that were observed from the prior visit. The following violations were noted:

  • 80061 (b)(1)(A) for failure to report death of Resident, in a timely manner, and 80066 Personnel Records; failure to keep personnel records on site and available to LPAs upon initial arrival of visit.
NAME OF LICENSING PROGRAM MANAGER: Jazmond D Harris
NAME OF LICENSING PROGRAM ANALYST: Ahliah Sharp
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/24/2026 04:37 PM - It Cannot Be Edited


Created By: Ahliah Sharp On 02/24/2026 at 01:41 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BEHAVIORAL EDUCATION PROGRAMS-SKYLAND ADULT RESID.
FACILITY NUMBER: 336425787

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
80061(b)(1)(A)
(b) Upon the occurrence, during the operation of the facility, of any of the events…(1) Events reported shall include the following:(A) Death of any client from any cause.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on (interviews) and (record reviews), the licensee did not comply with the section cited above. Licensee did not report the death of Resident that occured on 10/24/2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2026
Plan of Correction
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Licensee agreed to send the Death report to the department by tomorrow (i.e., 2/25/2026). Licensee also agrees to do staff training with all staff including sign in sheets of all staff participating. Licensee will submitt all proof of completion to LPA by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Jazmond D Harris
NAME OF LICENSING PROGRAM MANAGER:
Ahliah Sharp
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2026


LIC809 (FAS) - (06/04)
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