361881134-4-24-2025-56-AS-NBRN-DJZQDX-20250728120525

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881134
Report Date: 04/24/2025
Date Signed: 04/24/2025 05:39:23 PM

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
01/10/2025 and conducted by Evaluator Lavette Farlow

COMPLAINT CONTROL NUMBER: 56-AS-20250110144612

FACILITY NAME:	ALLARA SENIOR LIVING		FACILITY NUMBER:	361881134
ADMINISTRATOR:	HEFNER, LEEANN		FACILITY TYPE:	740
ADDRESS:	9417 19TH STREET		TELEPHONE:	(909) 736-1900
CITY:	RANCHO CUCAMONGA	STATE: CA	ZIP CODE:	91701
CAPACITY:	120	CENSUS: 86	DATE:	04/24/2025
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Matt Ryan, Executive Director		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not ensure that resident's personal belongings are safeguarded
Staff do not ensure that residents' rooms are clean and sanitary
Staff do not ensure that residents' incontinence needs are being met

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) LaVette Farlow arrived to facility to conduct a complaint investigation regarding the above allegations. LPA Farlow met with Executive Director, Matt Ryan and explained the elements of the complaint.

Allegation 1: Staff do not ensure that resident's personal belongings are safeguarded:

Regarding the first allegation staff do not ensure that resident's personal belongings are safeguarded. LPA's investigation revealed that 11 out of 12 resident reported not having any issues or concerns with staff safeguarding their personal belongings. R1 reported that Staff 11 (S11), changed the way the mail was received and deliver and R1 did not give consent to the changes. Interview with S11 revealed the changes were made by the hospice company to ensure the residents items were secured and safeguarded. S11 also stated the staff that normally handle the mailing process was on leave. S11 stated R1 items were secured in my office. LPA interviewed 11 out of 11 staff regarding the allegation of staff do not ensure resident personal belongings are safeguarded.
***continued on LIC 9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

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-20250110144612

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: ALLARA SENIOR LIVING	FACILITY NUMBER: 361881134
	VISIT DATE: 04/24/2025

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

11 out of 11 staff stated they haven't heard or experienced any problems with residents personal belongings not being safeguarded.

Throughout the investigation process, it was found that the allegation #1 Staff do not ensure that resident's personal belongings are safeguarded is UNSUBSTANTIATED. Based on the fact that resident items were secured in staff office due to staff being on leave and changes were made from hospice staff to ensure items are secured. 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.

Allegation 2: Staff do not ensure that residents' rooms are clean and sanitary.

LPA interviewed 12 out of 12 residents in care and it was revealed that residents are pleased with staff cleaning their rooms and assisting with sanitation needs. Residents stated staff come to clean once a week or as needed. Residents stated staff clean the kitchen, bathrooms, vacuum, take out the trash, do the laundry and change the sheets. LPA interviewed 11 out of 11 staff and it was revealed that staff ensure residents rooms are clean. Staff stated the take out the trash, change sheets, and tidy up. Housekeeping complete a deep cleaning weekly. LPA toured several resident apartment during my visit and based on my observation residents apartment were clean and sanitation maintained.
Based on the investigation process, it was found that the allegation #2 Staff do not ensure that resident's room are clean and sanitary is UNSUBSTANTIATED. Based on staff and resident interviews and LPA's observation. 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.

Allegation 3: Staff do not ensure that residents' incontinence needs are being met.

LPA interviewed 12 out of 12 residents in care and it was revealed that 12 out of 12 residents require minimal or no assistance with incontinence needs. 5 out of 5 residents stated that staff assist them without any problems or issues. LPA interviewed 11 out of 11 staff and it was revealed that staff ensure residents incontinence needs are met. Staff stated it may take a moment to get to a residents room because we are assisting another resident in care, but we make it a point to clean all residents and assist with incontinence needs.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 56-AS-20250110144612

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: ALLARA SENIOR LIVING	FACILITY NUMBER: 361881134
	VISIT DATE: 04/24/2025

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

Based on the investigation process, it was found that the allegation #3 Staff do not ensure that resident's incontinence needs are being met is UNSUBSTANTIATED. Based on staff and resident interviews. 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.

An exit interview was conducted where this report LIC 9099 and LIC9099Cs was discussed, and a copy was provided Melissa Oseguera, Vibrant Life Director, and Christin Farrell, Generation Program Director, at the end of the visit.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3