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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426239
Report Date: 11/19/2025
Date Signed: 11/19/2025 02:10:19 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
12/10/2021 and conducted by Evaluator Mary G Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20211210110500
FACILITY NAME:BROOKDALE SUNWESTFACILITY NUMBER:
336426239
ADMINISTRATOR:SORIANO, MARIAN MFACILITY TYPE:
740
ADDRESS:1085 SUNWEST DRTELEPHONE:
(951) 925-0822
CITY:HEMETSTATE: CAZIP CODE:
92545
CAPACITY:60CENSUS: 40DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
12:22 PM
MET WITH:Juanita Jackson - Health and Wellness Director TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Inadequate staffing resulting in residents falling while in care.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Flores conducted a subsequent complaint investigation visit regarding the above allegation. LPA met with Juanita Jackson and explained the reason for the visit.

The investigation consisted of the following: On 12/15/21 LPA Cuevas conducted an unannounced initial visit. On 12/21/21 LPA Cuevas conducted a subsequent visit and conducted a tour of the facility. On 11/7/25 LPA Flores contacted administrator and requested staff schedule for December 2021 and current, resident and staff roster. On 11/17/25 LPA Flores interview 1 staff. On 11/19/25 LPA Flores conducted interviews with 5 residents and 3 staff.

The investigation revealed the following: Regarding allegation: Inadequate staffing resulting in residents falling while in care. It is alleged there is one staff caring for 20 residents.
(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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 18-AS-20211210110500
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: BROOKDALE SUNWEST
FACILITY NUMBER: 336426239
VISIT DATE: 11/19/2025
NARRATIVE
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Interview with administrator revealed there are 4 caregivers during the day, and afternoon shifts along with additional staffing. There are 2 caregivers and a medication technician during the night shift. Per administrator during 2021 they did have some staff issues, but they had kept the same number of staff as today to cover the shifts. There was a time when the facility had 13 residents, and they had less staff. Interviews with residents revealed there is always staff available to assist in each shift. Interviews with staff corroborated the administrator’s staff numbers per shift and stated there are no residents that require additional care. LPA reviewed incident reports and noted that between September -November 2025 two falls have been reported to the department and between October-December of 2021 there were 4 falls reported to the department. Although residents may have fallen there is not enough evidence to say there was not enough staffing during December of 2021 or currently to provide care and supervision. Therefore, the allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Juanita Jackson and a copy of this report was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
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