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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800458
Report Date: 01/06/2025
Date Signed: 01/06/2025 04:24:07 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
12/30/2024 and conducted by Evaluator Renese Howell-Small
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20241230142213
FACILITY NAME:ADVANTAGE CARE FACILITYFACILITY NUMBER:
361800458
ADMINISTRATOR:TORRES, MELVINFACILITY TYPE:
740
ADDRESS:27438 STRATFORD STREETTELEPHONE:
(909) 910-5629
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:6CENSUS: 6DATE:
01/06/2025
UNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Administrator Melvin TorresTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff financially abused resident in care
Staff withheld deceased residents personal property from residents family
INVESTIGATION FINDINGS:
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On 01/06/2025 at 1:16PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to deliver findings for the above allegations. LPA was greeted by Administrator Melvin Torres, stated the purpose of the visit and gained access to the facility. The investigation consisted of interviews and record review.

In regards to the allegation of staff financially abused resident in care:
LPA interviewed three (3) residents and (3) staff. LPA also reviewed resident records. LPA confirmed that Resident #1's (R1) rent checks matched the signed Admission's Agreement. Residents in care deny staff financial abuse and stated that they trust staff. Based on interviews and record review, this allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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-20241230142213
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: ADVANTAGE CARE FACILITY
FACILITY NUMBER: 361800458
VISIT DATE: 01/06/2025
NARRATIVE
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In regards to the allegation of Staff withheld deceased residents personal property from residents family:
LPA interviewed staff and reviewed records. The facility maintained R1's personal property beyond the 15 days listed in the Admission's Agreement. LPA observed that all of R1's documents confirm that R1 was its own conservator and no relatives or friends were listed. Staff confirmed that the personal property was released to family members on 01/02/2025 and a Unusual Incident Report (SIR) was forwarded to Community Care Licensing (CCLD). LPA confirmed the items that were released listed on the Resident Personal Property and Valuables form (LIC621). Local law enforcement was also called and witnessed the personal items were released to the family members. Based on the above information, the allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report LIC9099, LIC9099C was discussed and a copy was provided to Administrator Melvin Torres.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2