365530221-4-1-2026-56-AS-KCLS-DWENKF-20260728103152

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 365530221
Report Date: 04/01/2026
Date Signed: 04/01/2026 05:31:31 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
01/14/2026 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20260114121520

FACILITY NAME:	LOMA LINDA ASSISTED LIVING		FACILITY NUMBER:	365530221
ADMINISTRATOR:	SANCHEZ, ELLEEN		FACILITY TYPE:	740
ADDRESS:	25393 COLE ST		TELEPHONE:	(909) 799-3117
CITY:	LOMA LINDA	STATE: CA	ZIP CODE:	92354
CAPACITY:	64	CENSUS: 53	DATE:	04/01/2026
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Resident Care Coordinator Keisha Martin		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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Staff handle residents in a rough manner
Staff do not ensure the residents bedding is clean and sanitary
Staff do not ensure the residents toileting needs are met

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Resident Care Coordinator Keisha Martin, and explained the purpose of the visit.

Regarding allegation #1, LPA conducted interviews with three (3) staff and five (5) residents. All three (3) of the staff informed LPA, residents are not handled in a rough manner nor have they seen or heard staff handling residents in a rough manner.

Four (4) of the Five (5) residents informed LPA they are not treated in a rough manner. One (1) of the Five (5) residents could not answer LPA’s question.

Unsubstantiated

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-20260114121520

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: LOMA LINDA ASSISTED LIVING	FACILITY NUMBER: 365530221
	VISIT DATE: 04/01/2026

NARRATIVE

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Regarding allegation #2, LPA observed and conducted interviews with staff and residents. LPA observed Four (4) resident bedrooms to have their bedding made, clean, and sanitary. Interviews with three (3) staff informed LPA, the beds are made daily, sheets are washed weekly unless an accident occurred then the sheets are washed immediately and house keeping shampoos the mattress.

One (1) of the Four (4) residents interviewed voiced they do not like when their sheets are placed on the floor while the bed is being made, aside from that comment all four (4) residents have informed LPA, staff maintain their bedding clean and sanitary.

Regarding allegation #3, LPA conducted interviews with three (3) staff and five (5) residents. Interviews with all three (3) staff members informed LPA residents toileting needs are being met. Staff stated every resident’s incontinent needs are different, the residents who need constant changes are checked between every 1-2 hours based on the resident.

Two (2) out of the Five (5) residents informed LPA they did not need assistance with toileting. Two (2) of the Five (5) residents informed LPA although they don’t need much assistance with toileting when staff is called, they assist in a timely manner. One (1) of the five (5) residents could not answer LPA’s question.

Based on LPAs observations, record review, and interviews, the above allegations are Unsubstantiated; meaning that although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

An exit interview was conducted where this report was discussed and a copy was provided to Executive Director Eileen Sanchez at the conclusion of the visit.

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

LIC9099 (FAS) - (06/04)

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