361880660-6-4-2020-18-AS-JESL-BR3QJ6-20200630121215

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880660
Report Date: 06/03/2020
Date Signed: 06/04/2020 10:38:52 AM

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
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/26/2020 and conducted by Evaluator Crystal Colvin

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200526125158

FACILITY NAME:	RIALTO ASSISTED LIVING		FACILITY NUMBER:	361880660
ADMINISTRATOR:	KYONG SUK LEE		FACILITY TYPE:	740
ADDRESS:	1441 S RIVERSIDE AVE		TELEPHONE:	(909) 877-2340
CITY:	RIALTO	STATE: CA	ZIP CODE:	92376
CAPACITY:	94	CENSUS:	DATE:	06/03/2020
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Janet Oliver - Marketing Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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*Facility is in disrepair.

*Personal rights poster not posted in prominent area of facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Crystal Colvin contacted the facility via telephone to commence a complaint investigation via telephone due to COVID-19. LPA identified herself and discussed the purpose of the call and the elements of the allegation(s) with Marketing Director Janet Oliver. Below is a summary of the findings of the investigation:

Regarding allegation "Facility is in disrepair": LPA Colvin interviewed staff members as well as conducted a video tour of the area mentioned in the complaint via FaceTime. LPA Colvin did not observe any plumbing or sewage issues/concerns near the nursing station of the facility. Additionally, staff interviewed denied that there have been any sewage or plumbing issues at the facility apart from a small water leak from one of the toilets two weeks ago, wherein an "Out of Order" sign was placed on the bathroom door while maintenance fixed the problem. Staff interviewed stated that even through this small repair, the plumbing and toileting facilities were still operational. LPA Colvin additionally asked about any bad odors resulting from this leak, which staff again denied and stated that the leak was just water.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal Colvin	TELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2020

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 18-AS-20200526125158

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
RIVERSIDE, CA 92507

FACILITY NAME: RIALTO ASSISTED LIVING	FACILITY NUMBER: 361880660
	VISIT DATE: 06/03/2020

NARRATIVE

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Due to the lack of observations made by LPA Colvin and interviews conducted with staff, the above allegation is UNSUBSTANTIATED.

Regarding allegation "Personal rights poster not posted in prominent area of facility": LPA Colvin toured the facility through video services through FaceTime and observed a large, colorful poster for the Community Care Licensing Centralized Complaint Line, also know as "See Something, Say Something" poster. LPA Colvin observed that this poster was on a wall that continues down one of the wings of resident bedrooms, and is across from the nurses station. LPA Colvin additionally observed that the facility's other postings, such as the Long Term Care Ombudsman poster, Emergency Disaster Plan, Resident Rights (etc.) is also posted in this location. LPA Colvin interviewed staff regarding the poster and was informed that the poster was originally an 8x11 piece of paper that was taped to the window of the office, and that in order to ensure compliance with Title 22 Regulations, a larger laminated poster (20x26 or 20x24) was commissioned at an office supply store. Staff ensured LPA Colvin that the old, smaller poster was not removed until the new poster was placed on the wall (though they note that they did move the new poster after observing issues with the original placement of it by the front doors of the facility, as the wind would blow it when the doors were opened). Due to observations made by LPA Colvin and interviews conducted, the above allegation is UNSUBSTANTIATED.

A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with Marketing Director Janet Oliver (as the Administrator was unavailable during LPA Colvin's tele-inspection) via telephone and a copy of this report was provided to Janet via email. Report with facility representative signature was obtained.

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal Colvin	TELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2020

LIC9099 (FAS) - (06/04)

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