361880660-1-26-2023-56-AS-NBRN-CNVPHG-20230209101955

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880660
Report Date: 01/26/2023
Date Signed: 01/26/2023 02:38:05 PM

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
01/20/2023 and conducted by Evaluator Anna Bueno

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230120084812

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:	01/26/2023
		UNANNOUNCED	TIME BEGAN:	12:54 PM
MET WITH:	Tae Kim - Administrator		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Staff do not prevent a resident from smoking in the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Anna Bueno and Michelle Echeverria conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings on the above allegation. LPAs met with administrator Tae Kim who was informed of today’s visit. The investigation consisted of physical observations of the facility, interviews with relevant parties, and review relevant records.

The allegation is Staff do not prevent a resident from smoking in the facility. LPAs reviewed a copy of a written warning issued to Resident 1 (R1). Resident interviews revealed that the facility has a policy for no smoking inside the building. Furthermore, Resident 2 (R2) interview disclosed that staff quietly and individually spoke to residents who smoke tobacco about the facility house rules. LPAs observed R1 smoking in their outdoor patio with their door partially open. LPAs observed several "NO SMOKING" postings inside and outside the facility and LPAs did not smell tobacco in the building. This allegation is therefore 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 Rosalie Arreola and a copy of this report was provided.

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: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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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