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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800210
Report Date: 06/16/2026
Date Signed: 06/16/2026 03:54:45 PM

Substantiated


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
10/14/2024 and conducted by Evaluator Andrew Martinez
COMPLAINT CONTROL NUMBER: 56-AS-20241014093515
FACILITY NAME:ARIES RESIDENTIAL CARE INCFACILITY NUMBER:
361800210
ADMINISTRATOR:ROGOVIN, ROBERTFACILITY TYPE:
740
ADDRESS:17892 SYCAMORE STTELEPHONE:
(760) 927-3357
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:6CENSUS: 6DATE:
06/16/2026
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Administrator Robert RogovinTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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The Administrator is not at the facility a sufficient amount of hours.
During Administrator's absence, There is no designated Administrator substitute.
Staff improperly store resident's medications.
Staff are not administering medications as prescribed.
Staff are not properly trained in administering resident medications.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Andrew Martinez and Beena Singh made an unannounced visit to the facility to complete the investigation and deliver findings to the allegations above. LPAs were greeted by Caregiver Benina Ortiz, LPAs identified themselves and were granted entrance to the facility. Licensee Herminia Rogovin was contacted to notify of LPA's presence and Administrator Robert Rogovin arrived shortly after. LPAs met with Administrator Robert Rogovin, re-discussed the elements of the allegations and the purpose of the visit.

For the allegation, The Administrator is not at the facility a sufficient amount of hours: Based on LPAs record review of facility's LIC 500, and interview with the S1, there is no record keeping of Administrator's physical presence in the facility to match the LIC 500. Based on record review and interview, this allegation is substantiated.

*** Continued on LIC 9099-C ***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Andrew Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
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 5
Control Number 56-AS-20241014093515
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: ARIES RESIDENTIAL CARE INC
FACILITY NUMBER: 361800210
VISIT DATE: 06/16/2026
NARRATIVE
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For the allegation, During Administrator's absence, There is no designated Administrator substitute: Based on staff interview, S1 stated the Administrator or Licensee submitted an LIC 308 prior to Administrator's absence to designate facility responsibility to Joanna Leyva to cover their absence at the time complaint was made; However, S1 could not provide LPA proof of submission of LIC 308 to CCL at initial request. Based on LPAs review of the CDSS online Guardian Background Check System, Joanne Leyva was not associated with the facility at the time of Administrator's absence. Last known association date to the facility was 12/01/2017 with a separation date of 07/19/2018. Based on interview and record review, the allegation is substantiated.

For the allegation, Staff improperly store resident's medications: Based on staff interview, S2 stated medications are pre-sorted for the day by the owner for staff to administer throughout the day. Based on observation, medication logs provided are titled "MEDICATION LISTS: (Pillbox Refill) - every Friday" indicating that residents medications are transferred from their pill bottles/packs/containers and placed in pillboxes in advance. Also, LPAs observed medications stored in small clear cups with residents' name enclosed in another clear container store outside of the centralized medication storage cabinet in the kitchen. Based on interviews and observation, the allegation is substantiated.

For the allegation, Staff are not administering medications as prescribed: Based on staff interview, S2 stated the facility does not have or maintain Medication Administration Records or a Centralized Storage Medication List for the residents in care. The only record keeping for resident's medication observed by LPAs are typed medication lists printed with resident's names, medications sorted by "AM", "PM", and a "Legend" listing the medication names and what they are for. Based on interview and observation, the allegation is substantiated.
For the allegation, Staff are not properly trained in administering resident medications: Based on records review, S1 provided personally typed training certificates for staff that cover the time of the complaint, lacking the staff's signatures. S1 previously stated staff receive yearly training on medication management, however completed logs were not provided. Based on interviews, S2 reported they have not received medication management training since before they began working at this facility; last completing the training in 2024. Upon LPAs request of training materials covered in the medication management training, as well as the documentation for the medical consultant that provided the training, S1 stated the records were not kept at the facility and was reluctant to go retrieve them at LPAs request. Administrator returned with a document showing materials covered in training provided by Trainer Herminia Rogovin, Licensee. The document reviewed lacks the individual names of staff members who received the training, as well as their signatures acknowledging receipt of training. Based on interviews and records review, the allegation is substantiated.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Andrew Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 56-AS-20241014093515
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: ARIES RESIDENTIAL CARE INC
FACILITY NUMBER: 361800210
VISIT DATE: 06/16/2026
NARRATIVE
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Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Four (4) deficiencies were cited during today's visit per Title 22, Division 6, Chapter 8 of the California Code of Regulations. An exit interview was conducted were copies of this Complaint Investigation Report (LIC 9099, LIC 9099-Cs and LIC 9099-D) and Appeal Rights were discussed and provided to Administrator Robert Rogovin.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Andrew Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 56-AS-20241014093515
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: ARIES RESIDENTIAL CARE INC
FACILITY NUMBER: 361800210
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/19/2026
Section Cited
CCR
87405(a)
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(a) The administrator shall be on the premises a sufficient number of hours to permit adequate attention to the facility... When the administrator is not in the facility, there shall be coverage by a designated substitute...for management and administration of the facility...
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Licensee and Administrator are to review regulation cited in full and provide Licensing with a written statements of understanding, via email, dated and signed by both parties, as well as provide an accurately updated LIC 500 by close of business(COB) on POC due date.
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The Department may require that the administrator devote additional hours in the facility to fulfill [their] responsibilities...
This requirement are not met as evidenced by: Based on interview and records review, licensee did not comply with section cited by not maintaining records of hours spent at facility to match facility's LIC 500, nor provide proof of proper filing for designation of facility responsibility LIC 308 to Licensing during Administrator's absence which poses/posed a potential health, safety or personal rights risk to persons in care.
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06/17/2026
Section Cited
CCR
87465(h)(5)
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(h)(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.

This requirement is not met as evidenced by:
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Licensee is to review regulation cited in full and provide a signed and dated written statement of understanding of regulation and agreement to follow regulation, submitted to Licensing via email by close of business(COB) on POC due date.
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Based on interview and observation, licensee did not comply with section cited by pre-sorting residents' medications in clear cups labeled by resident name, encased in a clear storage containers, outside of their originally received container which poses/posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Andrew Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 56-AS-20241014093515
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: ARIES RESIDENTIAL CARE INC
FACILITY NUMBER: 361800210
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/17/2026
Section Cited
CCR
87506(a)
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(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.

This requirement is not met as evidenced by:
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Licensee to obtain Centrally Stored Medication lists for 6 of 6 residents per regulations requirements and maintain them at facility. Licensee to submit proof of documentation via email to Licensing by COB on POC due date.
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Based on interview and LPAs observation, the licensee did not comply with the section cited above by not maintaining current centrally stored medication list for 6 of 6 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type A
06/17/2026
Section Cited
CCR
87411(c)(6)
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(6) The licensee shall maintain documentation pertaining to staff training... as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that...
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Licensee is to review regulation cited in full and provide a signed and dated written statement of understanding of regulation, provide annual training required by regulation for all staff and provide copies of statement and training records to Licensing by COB on POC due date.
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indicates which of the criteria of Section 87411(c)(3) is met by the trainer.
This requirement is not met as evidenced by: Based on interview and record review, Licensee did not comply with the section cited above by not maintaining proper staff traninging documentation regarding medication management training for all staff which poses/posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Andrew Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5