361880660-6-19-2020-18-AS-JESL-BR3R7D-20200630124610

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880660
Report Date: 06/19/2020
Date Signed: 06/19/2020 01:56:46 PM

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
06/11/2020 and conducted by Evaluator Crystal Colvin

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200611143720

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: 52	DATE:	06/19/2020
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Janet Oliver - Marketing Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility has bed bugs

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 with Marketing Director Janet Oliver. Below is a summary of the findings of the investigation:

Regarding allegation "Facility has bed bugs": LPA Colvin interviewed residents and staff regarding the allegation of the facility having bed bugs. It was revealed to LPA Colvin through interviews that the complaint of bed bugs in one of the resident bed rooms was made to facility staff on 6/16/20. Facility staff proceeded to treat the affected room on ___ with an over-the-counter fogger meant to exterminate pests. The facility additionally went through other measures, such as stripping all furniture and replacing the mattress in the room. Since the room has been treated, there have been no complaints from the resdients about bed bugs. Due to the facility immedaitely treating the presenting issue and there being no reported bed bugs at the time of LPA Colvin's tele-visit to the facility, the complaint is UNSUBSTANTIATED.

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: 06/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2020

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-20200611143720

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: 06/19/2020

NARRATIVE

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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 via telephone and a copy of this report was provided to Janet Oliver and Administrator Clara 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: 06/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2020

LIC9099 (FAS) - (06/04)

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