366402583-5-19-2026-56-AS-NBRN-DUJKYW-20260529081948

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366402583
Report Date: 05/19/2026
Date Signed: 05/19/2026 01:35:01 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
02/02/2026 and conducted by Evaluator Raquel Hernandez

COMPLAINT CONTROL NUMBER: 56-AS-20260202105605

FACILITY NAME:	BROOKDALE NORTH EUCLID		FACILITY NUMBER:	366402583
ADMINISTRATOR:	LISA TO		FACILITY TYPE:	740
ADDRESS:	1031 N EUCLID AVE		TELEPHONE:	(909) 391-2622
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91762
CAPACITY:	140	CENSUS:	DATE:	05/19/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Business Office Manager Marcos Ramos		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff did not alert the residents of power outages
Staff left the residents unattended
Staff allowed the residents to be soiled
Staff mishandled the residents medications
Staff are not properly trained
Staff behavior poses as a risk to the residents
Staff do not properly maintain the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the purpose of deliver findings for the above allegations. LPA met with Business Office Manager Marcos Ramos and explained today's visit.

LPA conducted (8) resident interviews. 8 out of the 8 stated the facility will alert residents of power outages when they are scheduled. LPA conducted (6) staff interviews. 6 out of the 6 staff stated when facility is notified of power outages they will prepare and alert residents. Additionally, LPA spoke with (8) residents in regard to staff leaving residents unattended. 8 out of the 8 stated facility staff do not leave them unattended nor have witnessed facility staff leaving other residents unattended. LPA conducted (6) staff interviews. 6 out of 6 stated residents are not left unattended. In regards to allegation of staff allowing residents to be left soiled. LPA spoke with (8) residents. 8 out of the 8 stated they have either not been left soiled or have witnessed other residents being left soiled. LPA conducted (6) staff interviews. 6 out of the 6 staff stated residents are not left soiled and are changed when call button is pressed or when room checks are done periodically.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

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-20260202105605

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: BROOKDALE NORTH EUCLID	FACILITY NUMBER: 366402583
	VISIT DATE: 05/19/2026

NARRATIVE

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In regards to allegation of staff mishandling medications. LPA spoke with (8) residents. 8 out of the 8 residents stated facility staff have not mishandled their medications or have witnessed facility staff mishandling other resident’s medications. LPA conducted (6) staff interviews. 6 out of the 6 stated they have not witnessed facility residents medications being mishandled.

Additionally, a allegation was received regarding staff not being properly trained and staff behavior posing as a risk to residents. LPA conducted (8) resident interviews. 7 out of the 8 residents stated the facility staff are well trained to work at the facility and have not witnessed any behavior from staff to residents. LPA also spoke with (6) facility staff. 6 out of the 6 stated they believe the staff working are well trained and have not witnessed any behavior being posed as a risk to residents.

Furthermore, LPA conducted (8) resident interviews in regards to staff not properly maintaining the facility. 8 out of the 8 stated the facility is kept clean and maintained. LPA spoke with (6) staff. 6 out of the 6 stated the facility is kept properly maintained.

Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) (LIC9099C) was discussed and provided to Business Office Manager Marcos Ramos.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

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