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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530027
Report Date: 04/01/2026
Date Signed: 04/01/2026 11:07:25 AM

Substantiated


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
03/24/2026 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20260324135211
FACILITY NAME:VALLEY HOME IIFACILITY NUMBER:
365530027
ADMINISTRATOR:MIGUEL, CRISELDAFACILITY TYPE:
735
ADDRESS:1256 MORRISON DRIVETELEPHONE:
(909) 894-3653
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:4CENSUS: 3DATE:
04/01/2026
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Administrator Artemio DirigeTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff did not ensure a clients medication was inaccessible to other residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Artemio Dirige, and discussed the purpose of the visit.

Regarding the allegation, LPA Ramirez conducted a facility tour and interviews. Although LPA observed all three (3) clients’ medications stored centrally in a locked cabinet inaccessible to clients, interviews with Client #1 (C1), staff, and outside parties indicated that C1’s medication had been left in their room and accessible for at least ten (10) days. Therefore, based on the interviews conducted during investigation, the above allegation is Substantiated.

A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
An exit interview was conducted where this report LIC 9099, LIC 9099D and Appeal Rights were discussed, and a copy was provided to Administrator at the conclusion of the visit.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026
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-20260324135211
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: VALLEY HOME II
FACILITY NUMBER: 365530027
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2026
Section Cited
CCR
85075(b)
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85075 Health-Related Services
(b) The facility shall develop and implement a plan which ensures that assistance is provided to the clients in meeting their medical and dental needs.
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Administrator wll provide LIC 602A to LPA by POC due date and inquire with physician if C1 can centrally store medication in bedroom with a lock box.
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Based on interviews, record review the administrator did not follow Health-Related Services resulting in client #1 (C1) storing medication in their room for ten (10) days without a physicians order, which poses a potential Health, Safety, or Personal Rights risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026
LIC9099 (FAS) - (06/04)
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