366402567-9-4-2025-56-AS-NBRN-DLTTPK-20250924145427

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366402567
Report Date: 09/04/2025
Date Signed: 09/04/2025 11:12:02 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/27/2025 and conducted by Evaluator Javier Prieto

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20250827160822

FACILITY NAME:	INLAND ADULT DEVELOPMENTAL CENTER		FACILITY NUMBER:	366402567
ADMINISTRATOR:	PENDING		FACILITY TYPE:	775
ADDRESS:	10221-B TRADEMARK STREET		TELEPHONE:	(909) 483-1310
CITY:	RANCHO CUCAMONGA	STATE: CA	ZIP CODE:	91730
CAPACITY:	45	CENSUS: 20	DATE:	09/04/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jackie Vasquez, Executive Director		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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9

Staff are not providing opportunities for or encourage participation in activities from clients in care

INVESTIGATION FINDINGS:

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13

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Executive Director Vasquez and explained the elements of the complaint.

Allegation #1 - LPA toured the facility to see that clients are participating in activities in designated activities rooms. The facility was sufficiently staffed and met the required ratio of staff to clients. Executive Director express new activities in the near future that fit the clients capabilities. Clients were being assisted in activities by staff during today's visit.

Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Vasquez and a copy was left with the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025

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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