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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366410678
Report Date: 06/16/2026
Date Signed: 06/16/2026 12:04:53 PM

Substantiated


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
06/15/2026 and conducted by Evaluator Eldin Serrano
COMPLAINT CONTROL NUMBER: 56-AS-20260615155154
FACILITY NAME:CANYON HILLS CARE HOMEFACILITY NUMBER:
366410678
ADMINISTRATOR:MELJORIE CASTELOFACILITY TYPE:
740
ADDRESS:7791 STEWART ROADTELEPHONE:
(909) 433-0612
CITY:COLTONSTATE: CAZIP CODE:
92324
CAPACITY:6CENSUS: 4DATE:
06/16/2026
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Meljorie Castelo, AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Facility did not ensure that medication was inaccessible to client
INVESTIGATION FINDINGS:
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On June 16, 2026, at 10:30 AM, Licensing Program Analyst (LPA) Eldin Serrano visited the facility to investigate the above-mentioned allegation and deliver findings. LPA met with Administrator Meljorie Castelo to discuss the purpose of the visit. The investigation consisted of file review, interviewing relevant parties as well as observation.

Allegation indicates that facility did not ensure that medication was inaccessible to client - Based on interviews with relevant parties, it was confirmed that Client #1 (C1) transported medication belonging to a caregiver on his wheelchair when he went to the day program. This confirms that the facility failed to ensure the medication remained inaccessible to the client, therefore the allegation is substantiated.

Based on interviews, the preponderance of evidence standard has been met, therefore, the allegation is substantiated under the California Code of Regulations (Title 22, Division 6 Chapter 8).

An exit interview was conducted where this report, LIC9099, LIC9099D along with appeal rights, was provided to the Administrator Meljorie Castelo.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
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-20260615155154
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: CANYON HILLS CARE HOME
FACILITY NUMBER: 366410678
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/17/2026
Section Cited
CCR
87465(h)(2)
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Title 22, Division 6 Chapter 8
87465 (h(2) Incidental Medical and Dental Care (h)The following requirements shall apply to medications which are centrally stored: (2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidence by:
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Licensee/Administrator agrees to submit a statement of understanding to follow the regulation cited above by plan of correction (POC) due date.
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Based on interviews, the licensee did not comply with the section cited above by not ensuring that medications are kept safe and in a locked place and not accessible by any residents in care which poses an immediate health, safety or 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.
SUPERVISOR'S NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
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