361880660-1-5-2023-56-AS-NBRN-CN9RLV-20230120120743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880660
Report Date: 01/05/2023
Date Signed: 01/05/2023 10:49:20 AM

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
12/19/2022 and conducted by Evaluator Anna Bueno

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20221219142902

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: 48	DATE:	01/05/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Marketing director - Rosalie Arreola		TIME COMPLETED:	10:53 AM

ALLEGATION(S):

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Staff do not prevent residents from smoking in the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Anna Bueno conducted an subsequent visit to the facility to continue the investigation of and deliver findings on the above allegation. LPA met staff Rosalie Arreola and, supervising medication technician Bernie Escueta who were informed of today’s visit. The investigation consisted of review interviews with relevant parties, observations of the physical plant, and review of relevant documents.

It is alleged that the facility is not doing anything regarding residents who smoke inside their rooms. During today's visit, LPA observed one resident smoking in the designated smoking area. LPA did not smell cigarette smoke in the facility. Resident interviews confirm that the facility has a no smoking indoors policy. Staff interviews reveal that no resident has been observed smoking indoors however reports of smelling smoke were received from residents. Staff further state that they speak to the resident in person to remind them of the no smoking indoor policy and issue a 30 day eviction notice when needed. Furthermore, staff confirmed that, when there is active Covid-19 cases in the facility, residents who have patio access from utilize the access to smoke outside the facility. Records reviewed list the no smoking inside the facility listed in the resident house rules

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Anna Bueno	TELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023

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 56-AS-20221219142902

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: RIALTO ASSISTED LIVING	FACILITY NUMBER: 361880660
	VISIT DATE: 01/05/2023

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	and policies and procedures. Based on the above allegations, this complaint 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 Rosalie Arreola and a copy of this report was provided.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Anna Bueno	TELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023

LIC9099 (FAS) - (06/04)

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