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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425568
Report Date: 01/12/2026
Date Signed: 01/12/2026 04:30:39 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
10/13/2025 and conducted by Evaluator Edith Conchas
COMPLAINT CONTROL NUMBER: 56-AS-20251013161721
FACILITY NAME:PACIFIC PINESFACILITY NUMBER:
366425568
ADMINISTRATOR:AMANDA SANTOSFACILITY TYPE:
740
ADDRESS:1438 PACIFIC ST.TELEPHONE:
(909) 801-1911
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:14CENSUS: 5DATE:
01/12/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator, Iren CreightonTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Staff are not fingerprint or background cleared
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) E. Conchas conducted an unannounced complaint visit to deliver findings. During today’s visit LPA met with Administrator, Iren Creighton, and discussed the purpose of today's visit.

The investigation consisted of the following: LPA interviewed facility staff and resident, and gathered pertinent information.

Regarding the allegation, Staff are not fingerprint or back background cleared; Interviews and file review reveal staff 10 has worked at the facility and did not have a file available with a fiingerprint/ background at facility.

Continue LIC 9099-C, LIC 9099-D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
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 5
Control Number 56-AS-20251013161721
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: PACIFIC PINES
FACILITY NUMBER: 366425568
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/13/2026
Section Cited
CCR
87411(g)(1)
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(g) Prior to employment or initial presence in the facility, all employees...:(1)Obtain a California clearance or a criminal record exemption as required by law or Department regulations or:this requirement is not met as evidenced by:
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Administrator stated staff 10 no longer works at facility. Administrator will ensure to have clearance completed and on file prior to working at facility
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The Licensee did not comply with the section cited above by allowing Staff 10 (S10) to work at facility with out clearance , which poses an immediate health, safety and 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.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/13/2025 and conducted by Evaluator Edith Conchas
COMPLAINT CONTROL NUMBER: 56-AS-20251013161721

FACILITY NAME:PACIFIC PINESFACILITY NUMBER:
366425568
ADMINISTRATOR:AMANDA SANTOSFACILITY TYPE:
740
ADDRESS:1438 PACIFIC ST.TELEPHONE:
(909) 801-1911
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:14CENSUS: DATE:
01/12/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:TIME COMPLETED:
04:35 PM
ALLEGATION(S):
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9
Administrator qualifications
Staff mishandled resident
Insufficient staff available
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) E. Conchas conducted an unannounced visit to the facility to investigate the above allegations and deliver findings. LPA met with administrator, Iren Creighton.

The investigation consisted of file review and interviews with relevant parties. The first allegation indicates that the administrator qualifications are not met. Based on interview with staff 2 (S2), S2 is the Vice president of the facilty and is the back up to the administrator. LPA reveiwed S2 file and revealed that the administrator had the pertinent documents required on file to be an administrator. The second allegation indicates that staff mishandled resident. Interviews with staff and a witness deny observing any staff mishadling the resident. Interview with resident 3 (R3) reveal there has been no observation about staff mishandling residents.Third allegation indicates insufficent staff available. Interviews with staff and witness, and resident reveal although there has been many changes to the facility. There are staff available to care for residents at all times.
Continue LIC 809-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 56-AS-20251013161721
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: PACIFIC PINES
FACILITY NUMBER: 366425568
VISIT DATE: 01/12/2026
NARRATIVE
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Based on the evidence found during the investigation, the allegations Administrator qualifications,
Staff mishandled resident, and Insufficient staff available are deemed UNSUBSTANTIATED.

A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 56-AS-20251013161721
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: PACIFIC PINES
FACILITY NUMBER: 366425568
VISIT DATE: 01/12/2026
NARRATIVE
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Based on the Department’s investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where this report was discussed and a copy with appeal rights was provided to Administrator, Iren Creighton at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5