361881241-3-16-2026-56-AS-NBRN-DX3SMY-20260818140039

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881241
Report Date: 03/16/2026
Date Signed: 03/16/2026 12:10:43 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
03/09/2026 and conducted by Evaluator Lavette Farlow

COMPLAINT CONTROL NUMBER: 56-AS-20260309151036

FACILITY NAME:	FAIRVIEW LIVING LLC		FACILITY NUMBER:	361881241
ADMINISTRATOR:	ABDALLATEF, AHMAD		FACILITY TYPE:	740
ADDRESS:	1089 W HUFF STREET		TELEPHONE:	(909) 805-5025
CITY:	RIALTO	STATE: CA	ZIP CODE:	92376
CAPACITY:	10	CENSUS: 10	DATE:	03/16/2026
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Ahmad Abdallatef, Administrator		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Facility staff did not safeguard residents belongings.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to investigation a complaint of the of above mentioned allegation. LPA met with House Manager Guadalupe Leon who provided a tour of facility and called the Administrator Ahmad Abdallatef and informed him of the reason for today's visit. The investigation consisted of interviews with staff, residents, and review of records.

The allegation is facility staff did not safeguard residents belongings. LPA interviewed 5 out of 5 staff and it was revealed that R1 has a lot of belongings and the staff does have R1 guitar secured in the garage. Interviews with staff revealed R1 came to the facility to pick up items via uber. Interviews with S1, S2, and S4 revealed that staff completed approximately four (4) delivery of R1 belongings. S1, S2, S3, and S4, stated that R1 has numerous extension cords, and was not aware of any cords missing. S2, and S4 stated they personally handed R1 an extension cord or place one in his drawer prior to R1's move. Interview with S1, S2, and S4 revealed that R1 moved to another facility that they manage in Riverside name Winterwood.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

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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Control Number 56-AS-20260309151036

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: FAIRVIEW LIVING LLC	FACILITY NUMBER: 361881241
	VISIT DATE: 03/16/2026

NARRATIVE

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LPA interviewed 4 out of 4 residents in care. 4 out of 4 stated they do not have any issues with staff safeguarding their belongings. 4 out of 4 residents revealed they do not have any issues with staff storing their belongings or having access to their belongings. LPA observed the guitar in the facility and S2 stated we were not aware of him not having it or wanting the guitar. S2 phoned S4 and made arrangement for S4 to deliver the guitar to R1 at his facility Winterwood. Based on the findings the allegation is UNSUBSTANTIATED.

Based on the information above, the allegations is 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 violations did or did not occur. An exit interview was conducted where this report LIC 9099 and LIC 9099C was discussed and a copy was provided to the Administrator Ahmad Abdallatef.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

LIC9099 (FAS) - (06/04)

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