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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425270
Report Date: 08/06/2024
Date Signed: 12/05/2024 12:41:19 PM

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
08/05/2024 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240805145702
FACILITY NAME:ABRIA DEL CIELOFACILITY NUMBER:
366425270
ADMINISTRATOR:CRISELDA ESPIRITU SANTOFACILITY TYPE:
740
ADDRESS:1589 N. WATERMAN AVETELEPHONE:
(909) 884-4757
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY:240CENSUS: 138DATE:
08/06/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Edna Medrano, President CEOTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff are not allowing resident to have visitors in their room
Staff are not providing comfortable accommodations for residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with CEO, Edna Medrano and explained the elements of the complaint.

Regarding the allegation that staff are not allowing residents to have visitors in their room; LPA Prieto interviewed CEO Medrano who provided LPA with the facility's admission's agreement that addresses the visitation policy and those visitors providing proper identification upon entry. The facility also has designated visiting areas throughout the facility that are clearly labeled and indicating specific hours for the use of those specific areas. These areas are designated to assure the privacy of other resident's that may be residing in shared rooms and resident's safety. LPA interviewed resident #1 (R1), R2, R3, R4, R5, R6, R7, R8, and R9, all who stated that the facility is allowing them to have visitors and not restricting them relating to the facility's visitation policy.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Javier PrietoTELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
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-20240805145702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: ABRIA DEL CIELO
FACILITY NUMBER: 366425270
VISIT DATE: 08/06/2024
NARRATIVE
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Regarding the allegation that staff are not providing comfortable accommodations for residents; This allegation is specifically pertaining to that area where resident's congregate during spiritual services. The facility does have designated areas, and times, for days and times of worship. The facility provides a shaded outdoor area, free of traffic and other disturbances. Indoor worship services are locate in the facility's activity room with sufficient seating and a cool comfortable temperature. Activities Director staff #1 (S1) was interviewed and stated that has not been any concerns regarding the areas where resident's congregate for spiritual services and S1 states that they abide hours designated for these activities as the area's are also used by other residents for different activities. LPA interviewed resident #1 (R1), R2, R3, R4, R5, R6, R7, R8, and R9. all who stated that the facility is providing comfortable accommodations.

Based on the information obtained there is not enough evidence that staff are not allowing resident to have visitors in their room and staff are not providing comfortable accommodations for residents . Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and CEO Medrano and a copy was left with the facility.
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Javier PrietoTELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2