361880660-1-13-2026-56-AS-NBRN-DVBNBN-20260623101921

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880660
Report Date: 01/13/2026
Date Signed: 01/13/2026 05:43:59 PM

Unfounded

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
01/09/2026 and conducted by Evaluator Lavette Farlow

COMPLAINT CONTROL NUMBER: 56-AS-20260109143629

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: 54	DATE:	01/13/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mr. Tae Kim, Administrator		TIME COMPLETED:	05:50 PM

ALLEGATION(S):

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Staff left resident soiled in feces for an extended period of time
Staff did not ensure that resident was accorded dignity while hygiene needs were met
Staff do not follow resident's special diet
Staff do not ensure resident's blood sugar is checked before medication administration
Staff turned off resident's call light without providing resident with requested assistance
Staff do not assist resident with ambulating creating a high risk of falls

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to complete a complaint investigation on the above mentioned allegations. The investigation was conducted by Department staff. LPA conducted interviews with residents, and staff, reviewed and collected facility documents. LPA also, conducted a tour of the facility.

The first allegation is staff left resident soiled in feces for an extended period of time. LPA interviewed seven (7) out of seven (7) residents in care. Interviews with R1, R4, R5, and R6 reveal that staff assist with incontinence needs and they have not been left in feces for an extended period of time. Interviews with R2, and R3 revealed that they are self sufficient and do not require assistance from staff. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff did not leave resident soiled for an extended period of time. Interview with staff revealed that staff are not familiar with R7 and R7 was not a resident in the facility. This agency has investigated the complaint alleging that staff left resident soiled in feces for an extended period of time is Unfounded.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026

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 3

Control Number 56-AS-20260109143629

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: RIALTO ASSISTED LIVING	FACILITY NUMBER: 361880660
	VISIT DATE: 01/13/2026

NARRATIVE

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The second allegation is staff did not ensure that resident was accorded dignity while hygiene needs were met. LPA interviewed R1, R4, R5, and R6 and residents stated they had not experienced staff not according them dignity while hygiene needs are being met. LPA interviewed five (5) out of five (5) staff and interviews with staff revealed that staff are according resident dignity while assisting with hygiene needs. Staff stated that they always keep the door closed and there is a double door that is always secured and providing privacy. LPA was unable to identify R7 on the shower log. This agency has investigated the complaint alleging that staff did not ensure that resident was accorded dignity while hygiene needs were met is Unfounded.

The third allegation is staff do not follow resident's special diet. LPA interviewed seven (7) out of seven (7) residents in care. Interviews with residents revealed that some residents do have special dietary needs and the staff are following the doctors directive and other residents do not have any special diets. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff do follow resident's special diet. Interview with staff revealed that staff are following residents dietary needs. This agency has investigated the complaint alleging that staff do not follow resident's special diet is Unfounded.

The fourth allegation is staff do not ensure resident's blood sugar is checked before medication administration. LPA interviewed resident in care. Interviews with residents revealed that staff do conduct regular Blood Pressure/Blood Sugar check before administering medication. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff always ensure that residents blood pressure and blood sugar is checked prior to medication being dispensed. Staff also, stated the facility maintains a log for residents blood pressure and blood sugar readings. The staff stated R7 is not and have not been a resident in this facility. This agency has investigated the complaint alleging that staff do not ensure resident's blood sugar is checked before medication administration is Unfounded.
*** LIC9099 Continued***

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 56-AS-20260109143629

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: RIALTO ASSISTED LIVING	FACILITY NUMBER: 361880660
	VISIT DATE: 01/13/2026

NARRATIVE

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The fifth allegation is staff turned off resident's call light without providing resident with requested assistance. LPA interviewed resident in care. Interviews with residents revealed that staff do respond to the call light and assist them or let them know they will be back to assist them. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff always respond to the residents call light. Interview with staff revealed that the Med-Tech will assist on the floor when needed. Interview with S1 and S2 revealed that Med-Tech and office staff will assist with answering the call light and helping residents in care. This agency has investigated the complaint alleging that staff turned off resident's call light without providing resident with requested assistance is Unfounded.

The six allegation is staff do not assist resident with ambulating creating a high risk of falls. LPA interviewed resident in care. Interviews with residents revealed that staff do assist resident with ambulatory needs. Residents R1, R4, R5, and R6 stated staff will assist them as needed in and out of the bed, with shower and around the facility. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff always assist residents in care with residents ambulating needs to ensure resident do not fall. Staff stated there is only one resident that would attempt to transfer in and out of bed without assistance in the past, but this has not been a concern for a while. This agency has investigated the complaint alleging that staff do not assist resident with ambulating creating a high risk of falls, is Unfounded.

We have found that the complaint was Unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

During today’s visit no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC9099 and LIC9099C was discussed and provided to Administrator, Tae Kim.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026

LIC9099 (FAS) - (06/04)

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