336427235-1-9-2023-56-AS-KCLS-CMZTWB-20230112140512

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336427235
Report Date: 01/09/2023
Date Signed: 01/09/2023 10:08:49 AM

Unsubstantiated

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
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/09/2022 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20220809145821

FACILITY NAME:	CORONA RESIDENTIAL CARE CENTER LLC		FACILITY NUMBER:	336427235
ADMINISTRATOR:	AHARON STRIKS		FACILITY TYPE:	740
ADDRESS:	1400 CIRCLE CITY DR		TELEPHONE:	(951) 735-0252
CITY:	CORONA	STATE: CA	ZIP CODE:	92879
CAPACITY:	125	CENSUS: 95	DATE:	01/09/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mary (Maria) Gonzalez		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Facility did not seek medical attention for resident.
Resident's medical needs are not being met.
Facility did not ensure resident was provided with toiletries.
Facility did not ensure resident was fed.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility for the purpose of delivering findings on the complaint(s) listed above. LPA met with Mary (Maria) Gonzalez and she was informed of the purpose of the visit.

During LPA Allen investigation documents were reviewed, interviews were conducted with ten (10) residents, two (2) staff member and one (1) outside party it was said by all those interviewed that they have never been denied medical attention. It was said that if appointments are cancelled or missed for any reason the appointments are rescheduled and the residents are notified of the new date and time.

LPA Allen interviewed Resident 1 (R1) who stated the facility has never denied them medical attention and interviews conducted confirmed that there is one driver and scheduled appointments may need to be rescheduled due to availability of transportation. (R1) said their needs are being met and that they have been to their scheduled appointments and they have everything they need.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette Allen	TELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

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-20220809145821

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
, CA 92507

FACILITY NAME: CORONA RESIDENTIAL CARE CENTER LLC	FACILITY NUMBER: 336427235
	VISIT DATE: 01/09/2023

NARRATIVE

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(R1) was asked about hygiene items and they was said that the facility does offer hygiene items, but they can also buy their own if they don’t like what the facility has. LPA observed that (R1) did have personal hygiene items in their possession. (R1) was asked about not being feed and ( R1) said that breakfast is the best meal of the day and that they really don’t like the food, but they provide 3 meals a day; breakfast, lunch and dinner including snacks. LPA Allen’s did observe some residents eating fruit. There were menus available for review including an alternate menu for those residents with special diets.

Based on the investigation, the above finding is Unsubstantiated. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

LPA Allen conducted an exit interview a copy of this report with appeal rights was discussed with Mary (Maria) Gonzalez at the conclusion of the visit

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette Allen	TELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

LIC9099 (FAS) - (06/04)

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