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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361881048
Report Date: 06/10/2024
Date Signed: 06/10/2024 11:46:23 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
06/03/2024 and conducted by Evaluator Melody Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240603083339
FACILITY NAME:AQUA RIDGE OF MONTCLAIRFACILITY NUMBER:
361881048
ADMINISTRATOR:MONIQUE DEL JUNCOFACILITY TYPE:
740
ADDRESS:9631 MONTE VISTA AVETELEPHONE:
(909) 483-2782
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY:115CENSUS: 69DATE:
06/10/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Executive Director Monique del Junco and Resident Care Director Jonathan RiosTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Staff do not allow residents to have visitors.
INVESTIGATION FINDINGS:
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On 06/10/2024 at 09:00 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to commence a complaint investigation as well as to deliver findings for the allegation listed above. LPA Brown met with Resident Care Director Jonathan Rios. Executive Director (ED) Monique del Junco was contacted and arrived during the visit. The investigation consisted of file review, interviews with staffs, and residents as well as observation.

The investigation was conducted by LPA Melody Brown. The investigation consisted of file review, observation and interviews with relevant parties. The allegation indicates Staff do not allow residents to have visitors. Based on interviews, observations and records review conducted, LPA Brown cannot find evidence to corroborate the allegation. Interviews with eight (8) of eight (8) residents indicated that staffs at the facility are allowing them to have visitors all the time and there's no incident at the facility that a staff did not allow residents to have visitors. Interviews with eight (8) of eight (8) residents revealed that their familiy members and visitors can come anytime to visit them. (Continuation in LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody BrownTELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2024
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-20240603083339
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: AQUA RIDGE OF MONTCLAIR
FACILITY NUMBER: 361881048
VISIT DATE: 06/10/2024
NARRATIVE
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Interviews with eight (8) of eight (8) staffs indicated that all their residents can have visitor whenever they prefer as there's no visitor restriction hours. Interviews with staffs revealed that the facility's front doors are unlocked for visitors during the hours of 9:00 AM to 06:00 PM seven days a week and a phone number's posted in the front door for visits outside these hours for a staff to let the visitor come in at the facility. Interviews with eight (8) of eight (8) staff indicated that there's no incident that happened at the facility that a staff did not allow residents to have visitors.

During the visit on 06/10/2024, LPA Melody Brown observed staffs at the facility providing care and supervision to their residents, staffs allowing residents to have visitors and staffs are respectful when they communicate with residents visitors at the facility. LPA Brown reviewed facility documents and LPA Brown confirmed information reported that front doors are unlocked for visitors during hours of 9:00 AM to 06:00 PM and special arrangements for visits outside these hours are available. In addition, LPA Brown observed that a sign was posted in front with a phone number for visitors arriving at the facility when the front doors are locked to gain entry at the facility.

Based on the evidence, the allegation that Staff do not allow residents to have visitors is UNSUBSTANTIATED. A finding that the complaint is 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 was discussed and provided to Executive Director Monique del Junco and Resident Care Director Jonathan Rios.
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody BrownTELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2024
LIC9099 (FAS) - (06/04)
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