361800118-6-23-2026-56-AS-KCLS-DVEMXB-20260626095941

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361800118
Report Date: 06/23/2026
Date Signed: 06/23/2026 04:02:54 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
12/02/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20251202152431

FACILITY NAME:	ANGELIC MANSIONS		FACILITY NUMBER:	361800118
ADMINISTRATOR:	RAJADAS, STEVEN P		FACILITY TYPE:	740
ADDRESS:	7585 WARREN VISTA AVE		TELEPHONE:	(760) 365-4620
CITY:	YUCCA VALLEY	STATE: CA	ZIP CODE:	92284
CAPACITY:	15	CENSUS: 7	DATE:	06/23/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Administrator Steve Rajadas		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff does not dispose of non-consumed leftover food after 72 hours
Staff does not prevent cross contamination of raw meat
Staff does not ensure food is stored, prepared and served in a safe healthful manner
Staff are not trained in food handling and safety procedures
Staff do not ensure medications are centrally stored in a locked and safe place that are inaccessible to unauthorized persons.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegations mentioned. LPA met with Administrator Steve Rajadas and explained the purpose of the visit.

Regarding Allegation #1: Interviews with three (3) staff members indicated that leftover food is not frozen or reserved for residents. The Administrator informed LPA that leftover food is not served to residents; if food is not discarded after three (3) days, it is stored and frozen for Administrator use only. Interviews with three (3) residents reflected that they have not observed food being recycled and are unaware of whether food is discarded after three (3) days. During the kitchen tour, LPA did not observe any food stored beyond three (3) days.

Regarding Allegation #2: LPA interviewed three (3) staff members, all of whom reported that they take precautions to prevent cross-contamination. Staff explained that raw meats are not placed directly on counters and are instead set on foil, and separate cutting boards are used.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026

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-20251202152431

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: ANGELIC MANSIONS	FACILITY NUMBER: 361800118
	VISIT DATE: 06/23/2026

NARRATIVE

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Staff also reported that the Administrator provides thorough in house training. Interviews with three (3) residents indicated they either assume staff prevent cross contamination, have not experienced any issues, or have not observed anything raising concern regarding cross contamination practices.

Regarding Allegation #3: Interviews with two (2) staff members revealed that food is stored, prepared, and served in a safe manner. LPA also interviewed three (3) residents, all of whom stated that, to their knowledge, food is stored, prepared, and served in a safe and healthful manner.

Regarding Allegation #4: The Administrator reported that all staff receive in-house training on food handling procedures. Two (2) staff informed LPA that they were not required to obtain a food handler’s certificate. Interviews with three (3) residents indicated that two (2) have observed staff being trained in food handling, while one resident stated they were not aware of food handling practices.

Regarding Allegation #5: During the facility tour, LPA observed that the medication room door has a digital lock, and cabinets inside the medication room are also secured. Interviews with three (3) staff members confirmed that the medication room remains locked and inaccessible to residents at all times. Two (2) residents also stated that the medication room is consistently kept locked and they have never seen it open.

Based on LPA’s observations, staff and resident interviews, and relevant documentation, the allegations are determined to be Unsubstantiated. An Unsubstantiated finding means that although the allegations may be valid or could have occurred, there is insufficient evidence to support that the alleged violations did or did not happen.

An exit interview was conducted with Administrator Steve Rajadas, and a copy of this report was provided at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026

LIC9099 (FAS) - (06/04)

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