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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366409921
Report Date: 04/17/2026
Date Signed: 04/17/2026 02:59:07 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
04/15/2026 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260415124350
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: 22DATE:
04/17/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Steven PradoTIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Staff mishandle residents medication
Staff did not ensure resident was treated with dignity and respect
Staff are not providing adequate food service
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Steven Prado and explained the purpose of the visit regarding the allegations stated above.

First allegation: Staff mishandle residents’ medication. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 denied the allegation and informed LPA that medication for Resident #1 was not denied however, Staff #1 indicated that the medication dosage was not administered to Resident #1 because Resident #1 was requesting medication exceeding R#1 prescribed dosage. Upon medication review LPA observed that medication label indicated 1 tablet by mouth every 8 hours Staff #1 further reported that Resident #1 was requesting to be given two tables for pain and staff provided Resident #1 with one tablet as it indicates on Resident #1 medication label. LPA conducted an interview with Resident #1 regarding the alleged allegation Resident #1 informed LPA that when resident requested for more medication staff declined.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
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 2
Control Number 56-AS-20260415124350
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: 04/17/2026
NARRATIVE
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LPA informed Resident #1 that staff must follow medication orders as specified on medication labels and staff cannot exceed medication dosage.

Second allegation: Staff did not ensure resident was treated with dignity and respect. Regarding the allegation stated above, LPA conducted an interview with Resident #1 regarding the alleged allegation Resident #1 informed LPA that staff is ignoring residents’ pain and staff are not giving resident more pain medication when requested. Resident #1 informed LPA that the resident has no issues with the facility but does not like the fact that facility staff does not give the resident more medication. LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that there have not been any witnesses or reports stating that Staff #2 has left resident’s bedroom door open when cold. LPA conducted an interview with Resident #2 regarding the alleged allegation and Resident #2 informed LPA that resident have not witnessed Staff #1 mistreat or disrespect Resident #1.

Third allegation: Staff are not providing adequate food service. Regarding the allegation stated above, LPA conducted an interview with Resident #1 regarding the alleged allegation Resident #1 informed LPA that there are days that the food that is being served is not good. Resident #1 stated that Staff #3 does provide resident with alternatives however, resident does not like the alternatives given. LPA conducted a food supply inspection and during the inspection LPA observed three refrigerators with enough food supply to meet the current needs of the residents. LPA conducted an interview with Staff #3 regarding the alleged allegation and Staff #3 informed LPA that alternative meals are offered to Resident #1. LPA conducted an interview with Resident #2 regarding the alleged allegation and Resident #2 informed LPA that the facility provides residents with three meals a day and offers alternative meals to residents. LPA conducted an interview with Resident #3 regarding the alleged allegation and Resident #3 informed LPA that the facility provides three meals to residents in addition, Resident #3 informed LPA that the facility also provides seconds when requested as well as other alternative options. Based on corroborating evidence LPA has determined that the above allegation is 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 Steven Prado.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2