366425828-1-21-2026-56-AS-NBRN-DWFRJX-20260729130440

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366425828
Report Date: 01/21/2026
Date Signed: 01/21/2026 01:12:48 PM

Unsubstantiated

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
12/10/2025 and conducted by Evaluator Becky Mann

COMPLAINT CONTROL NUMBER: 56-AS-20251210091736

FACILITY NAME:	VISTA CARE CENTER		FACILITY NUMBER:	366425828
ADMINISTRATOR:	CIELITA RAVELO		FACILITY TYPE:	735
ADDRESS:	25155 VIA VISTA RD		TELEPHONE:	(760) 813-3022
CITY:	APPLE VALLEY	STATE: CA	ZIP CODE:	92307
CAPACITY:	5	CENSUS: 5	DATE:	01/21/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Cielita Ravelo, Administrator		TIME COMPLETED:	01:25 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not dispense medications as prescribed
Staff are not properly addressing pests in the facility
Staff do not ensure client is accorded dignity

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Cielita Ravelo, Administrator and explained the purpose of today's visit. The investigation consisted of LPAs observations, pertinent document reviews, and interviews with staff and clients.

The allegation that Staff do not dispense medications as prescribed. LPA interviewed four (4) staff and they stated that they do give clients their medication as prescribed. LPA reviewed three (3) client medications and the Medication Administration Record (MAR). Based on LPA observations, interviews and record reviews the medications are labeled and administered as prescribed. LPA was unable to interview Client #1 (C1) due to being nonverbal. LPA interviewed Client #2 (C2) and Client #3 (C3) and they stated that staff do give them their medications as prescribed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

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-20251210091736

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: VISTA CARE CENTER	FACILITY NUMBER: 366425828
	VISIT DATE: 01/21/2026

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

The allegation that Staff are not properly addressing pests in the facility. Based on LPAs observations and record reviews, the facility does have a pest control company that comes to the facility monthly for general pest treatments. Based on LPAs observations, the facility is clean and sanitary and did not observe any signs of pests.

The allegation that Staff do not ensure client is accorded dignity. LPA interviewed four (4) staff and they stated that they do ensure that clients are accorded with dignity. LPA was unable to interview Client #1 (C1) due to being nonverbal. LPA interviewed Client #2 (C2) and Client #3 (C3) and they stated that staff do treat them with dignity.

Based on evidence obtained during the investigation, the above allegations are 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 was discussed, and a copy was provided to Cielita Ravelo, Administrator at the conclusion of the visit.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2