<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366409921
Report Date: 09/16/2025
Date Signed: 09/16/2025 01:31:39 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
09/15/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250915081059
FACILITY NAME:MOUNTAIN VIEW RESIDENTIAL CAREFACILITY NUMBER:
366409921
ADMINISTRATOR:ILAGAN, ALEXANDERFACILITY TYPE:
740
ADDRESS:9073 OLIVE STTELEPHONE:
(909) 822-5174
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY:24CENSUS: 20DATE:
09/16/2025
UNANNOUNCEDTIME BEGAN:
12:19 PM
MET WITH:Stephen Prado- Administrator TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not ensure that an adequate supply of food was maintained on the premises.
Licensee did not ensure that facility bathrooms were maintained in good repair.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Administrator Stephen Prado and explained the purpose of the visit. The investigation consisted of interviews and observations.

First allegation: Licensee did not ensure that an adequate supply of food was maintained on the premises. Regarding the allegation LPA conducted an inspection of facilities food supply during the inspection LPA observed enough food supply stored inside three (3) refrigerators and inside freezers. LPA observed enough food supply to be stored to meet the needs of residents in care. During the inspection LPA observed food to be fresh, safe, and shelf stable. In addition, LPA observed that facility’s refrigerators and freezers are in standard with their temperatures according to Tile22 regulation. LPA conducted an interview with S#1 regarding the allegation stated above S#1 informed LPA that facility restocks on food supply twice a week every Wednesday.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
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 2
Control Number 56-AS-20250915081059
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: MOUNTAIN VIEW RESIDENTIAL CARE
FACILITY NUMBER: 366409921
VISIT DATE: 09/16/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA conducted an interview with Resident #1, Resident #2, and Resident #3, LPA went over the allegation with R#1-3 and all stated that they have no issues or concerns regarding food or the food supply at the facility and that the facility provides them with three meals a day (breakfast, lunch, and dinner). Furthermore, R#1-3 also informed LPA that facility provides snacks.

Second allegation: Licensee did not ensure that facility bathrooms were maintained in good repair. Regarding the allegation LPA conducted a bathroom inspection during inspection LPA observed two bathrooms to be in standard and in good repair inside building #1. In addition, LPA conducted a bathroom inspection inside building #2, LPA observed 2.5 to be in standard and in good repair. LPA conducted an interview with Staff #1 who informed LPA that all bathrooms were recently remodeled six-months ago. In addition, LPA was able to inspect a total of 4.5 restrooms between building #1 and building #2 during the inspection LPA did not observe mold, broken tiles, or restrooms to be in despair. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are 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.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Stephen Prado at the end of the visit.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2