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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530367
Report Date: 04/24/2026
Date Signed: 04/24/2026 05:43:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
04/17/2026 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260417094518
FACILITY NAME:CANYON VIEW JUNIPER CARE HOMEFACILITY NUMBER:
365530367
ADMINISTRATOR:PASCUA, MARKY RAMONEFACILITY TYPE:
740
ADDRESS:18101 JUNIPER STREETTELEPHONE:
(909) 548-1769
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:6CENSUS: 6DATE:
04/24/2026
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Alejoy TreyesTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Facility is operating overcapacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conclude the complaint investigation and deliver findings on the above allegation. LPA met with staff, Alejoy Treyes and discussed the purpose of the visit. The investigation consisted of review of facility and other records, observations, and interviews with pertinent individuals.

Regarding the allegation, facility is operating overcapacity, LPA conducted a tour of the facility, including the detached garage and storage shed. LPA observed that there were six (6) residents residing in the facility, which is within the total capacity. Interviews with five (5) staff and two (2) residents deny that more than six residents resided at the facility.

Based on the Department's investigation, the allegation is Unsubstantiated. Unsubstantiated meaning that 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026
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 5
Control Number 56-AS-20260417094518
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CANYON VIEW JUNIPER CARE HOME
FACILITY NUMBER: 365530367
VISIT DATE: 04/24/2026
NARRATIVE
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An exit interview was conducted with where reports (LIC9099 & LIC9099-C) was discussed and a copy of this report was provided to staff Treyes at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
04/17/2026 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260417094518

FACILITY NAME:CANYON VIEW JUNIPER CARE HOMEFACILITY NUMBER:
365530367
ADMINISTRATOR:PASCUA, MARKY RAMONEFACILITY TYPE:
740
ADDRESS:18101 JUNIPER STREETTELEPHONE:
(909) 548-1769
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:6CENSUS: 6DATE:
04/24/2026
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Alejoy TreyesTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff admitted resident in care without proper authorization
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conclude the complaint investigation and deliver findings on the above allegations. LPA met with staff, Alejoy Treyes and discussed the purpose of the visit. The investigation consisted of review of facility and other records, observations, and interviews with pertinent individuals.

Regarding the allegation, staff admitted resident in care without proper authorization from their Power of Attorney (POA). On or around April 11, 2026, R1 was admitted into the facility. Staff stated that R1’s family was contacted prior to the relocation; however, staff interviews confirm that no admissions agreement has been provided to R1's authorized representative/POA. As of today (April 24, 2026) there is no record of an admission agreement on file at the facility.

Based on the Department's investigation, the allegation Substantiated.
**continued on LIC9099-C***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 56-AS-20260417094518
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CANYON VIEW JUNIPER CARE HOME
FACILITY NUMBER: 365530367
VISIT DATE: 04/24/2026
NARRATIVE
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 A finding that the complaint is Substantiated means that the allegation(s) is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where reports (LIC9099, LIC9099-C&LIC9099-D) were discussed and provided with appeal rights to staff Treyes at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 56-AS-20260417094518
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CANYON VIEW JUNIPER CARE HOME
FACILITY NUMBER: 365530367
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2026
Section Cited
CCR
87507(c)
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87507(c)Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission...this requirement is not met as evidenced by:
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The Administrator/Licensee has agreed to provide an admissions agreement to R1's authorized representative/POA and submit proof of submittal by POC due date.
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The licensee did not comply with the section cited above by not providing a written admission agreement to R1's authorized representative/POA to confirm consent for admission; which poses a potential health, safety, and personal rights risk to persons 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: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5