<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336427235
Report Date: 07/13/2020
Date Signed: 07/13/2020 12:21:04 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/26/2020 and conducted by Evaluator Robbie Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20200326141123
FACILITY NAME:CORONA RESIDENTIAL CARE CENTER LLCFACILITY NUMBER:
336427235
ADMINISTRATOR:AHARON STRIKSFACILITY TYPE:
740
ADDRESS:1400 CIRCLE CITY DRTELEPHONE:
(951) 735-0252
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:125CENSUS: 86DATE:
07/13/2020
UNANNOUNCEDTIME BEGAN:
11:43 AM
MET WITH:Mary Gonzalez, Assisted Living CoordinatorTIME COMPLETED:
12:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident is not being served foods of choice
Staff member does not treat resident with dignity and respect
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Robbie Johnson contacted the facility to deliver findings regarding the above allegations via telephone due to COVID-19. LPA identified herself and discussed the purpose of the call and the elements of the allegations with Mary Gonzalez, Assisted Living Coordinator.

Allegation #1 resident is not being served foods of choice. Interviews with the reporting party revealed that vegetarian meal options are not being served in the facility. Interviews with the kitchen staff and the Assisted Living Coordinator revealed that residents are served vegetarian meal options. LPA reviewed facility menus from March through May 2020. LPA observed vegetarian meal options listed on menus available to residents. LPA interviewed several residents who reside at the facility. Residents interviewed confirm that vegetarian meal options are served at the facility. LPA could not corroborate the allegation. The allegation of resident is not being served foods of choice is UNSUBSTANTIATED.

Allegation #2 staff member does not treat resident with dignity and respect. Interviews with several staff revealed that residents are treated respectfully. Interviews with several residents who currently reside in the facility revealed that staff treat residents with dignity and respect.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Robbie JohnsonTELEPHONE: (951) 248-0304
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2020
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-20200326141123
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CORONA RESIDENTIAL CARE CENTER LLC
FACILITY NUMBER: 336427235
VISIT DATE: 07/13/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The residents interviewed revealed that they have never observed any staff treat any of the residents without respect. LPA could find no evidence that staff members do not treat residents with dignity and respect. The allegation is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred.

A copy of this report was reviewed with and provided to Assisted Living Coordinator Mary Gonzalez.
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Robbie JohnsonTELEPHONE: (951) 248-0304
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2