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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800147
Report Date: 05/05/2026
Date Signed: 05/05/2026 01:53:41 PM

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
04/16/2026 and conducted by Evaluator Javier Prieto
COMPLAINT CONTROL NUMBER: 56-AS-20260416144904
FACILITY NAME:MONTCLAIR ROYALE SENIOR LIVINGFACILITY NUMBER:
361800147
ADMINISTRATOR:SANTOS, ANNAMARIEFACILITY TYPE:
740
ADDRESS:9685 MONTE VISTA AVETELEPHONE:
(909) 621-3545
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY:236CENSUS: 122DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Anna Marie Santos, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not ensure a clean and sanitary environment

Staff do not ensure facility is in good repair

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding the above allegation. LPA Prieto met with Administrator Santos and explained the elements of the complaint.

Allegation #1 - LPA toured the Assisted Living area, dinning room, library and other common areas. LPA toured resident's rooms and found carpets are clean and sanitary. Facility has staff that cleans carpets on a daily basis and upon resident request. LPA did not observe any unsafe environmental conditions that may pose a risk to resident's safety.

Allegation #2 - LPA toured the Assisted Living area, dinning room, library and other common areas. LPA also toured the facility Memory Care Unit ward and found all to be clean, sanitary and in good repair. LPA found the facility halls and corridors were observed to be free from obstruction. LPA did not observe any unsafe environmental conditions that may pose a risk to resident's safety.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
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 56-AS-20260416144904
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: MONTCLAIR ROYALE SENIOR LIVING
FACILITY NUMBER: 361800147
VISIT DATE: 05/05/2026
NARRATIVE
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Based on the information obtained there is not enough evidence that staff do not ensure facility is in good repair and staff do not ensure a clean and sanitary environment. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report signed by LPA Prieto and Administrator Santos and a copy was left with the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2