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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530213
Report Date: 03/02/2026
Date Signed: 03/02/2026 04:10:08 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
02/05/2026 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20260205170106
FACILITY NAME:VILLAS AT SAN BERNARDINOFACILITY NUMBER:
365530213
ADMINISTRATOR:RUTH VILLAFACILITY TYPE:
740
ADDRESS:2985 N G STREETTELEPHONE:
(909) 883-7703
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY:144CENSUS: 97DATE:
03/02/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Executive Director, Ruth VillaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Staff handled a resident in a rough manner
Staff refused to assist a resident in care
Staff spoke to a resident in an aggressive manner
INVESTIGATION FINDINGS:
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On 03/02/2026 at 9:15AM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with the Executive Director, Ruth Villa. The investigation consisted of interviews and record review.

In regards to the allegation of staff handled a resident in a rough manner:
LPA interviewed six (6) staff and nine (9) residents. Resident 1 (R1) was unable to give a specific example of how staff handled R1. Staff denied handling resident(s) in a rough manner and stated that R1 needs minmal assistance. Residents denied observing staff handle residents in a rough manner. Based on interviews, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff refused to assist a resident in care:
LPA interviewed residents and staff. Staff stated that all residents are assisted when needed and denied the allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
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-20260205170106
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: VILLAS AT SAN BERNARDINO
FACILITY NUMBER: 365530213
VISIT DATE: 03/02/2026
NARRATIVE
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 Residents stated that staff assist them with their needs and respond to their call buttons.
Based on interviews, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff spoke to a resident in an aggressive manner:
LPA interviewed residents and staff. Staff stated that they may increase their auditory volume when speaking with certain residents. Staff denied speaking in an aggressive manner. R1 stated that staff are nice and helpful. Based on interviews. this allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted where this report LIC9099 and, LIC9099C was discussed and copies were provided to Community Liason Director, Crystal Wilkins.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2