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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361881045
Report Date: 01/25/2026
Date Signed: 01/25/2026 10:11:46 AM

Unsubstantiated


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
06/27/2024 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20240627120252
FACILITY NAME:SAHARIA CARE HOMES INC.FACILITY NUMBER:
361881045
ADMINISTRATOR:MATHUR, BHARTIFACILITY TYPE:
735
ADDRESS:7531 STONEY CREEK DRIVETELEPHONE:
(909) 864-3184
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:4CENSUS: 4DATE:
01/25/2026
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:House Manager Jay RubaTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not keep facility free of insects.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the purpose of delivering findings for the above allegation. LPA met with House Manager Jay Ruba and explained today's visit.

For the allegation, Staff did not keep facility free of insects. LPA Hernandez toured the interior and exterior areas of the facility and did not observe any insects or infestation. LPA inspected (4) client's bedrooms and bedding and did not observe any insects or bed bugs. LPA received documentation of pest control services.

Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and this report (LIC9099) were discussed and provided to House Manager Jay Ruba.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2026
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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