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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426224
Report Date: 09/30/2025
Date Signed: 03/27/2026 11:00:07 AM

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
09/26/2025 and conducted by Evaluator Lavette Farlow
COMPLAINT CONTROL NUMBER: 56-AS-20250926104459
FACILITY NAME:DOVE TREE MANORFACILITY NUMBER:
366426224
ADMINISTRATOR:MARIA NENITA ALOROFACILITY TYPE:
740
ADDRESS:3991 DOVE TREE AVE.TELEPHONE:
(909) 441-7891
CITY:RIALTOSTATE: CAZIP CODE:
92377
CAPACITY:6CENSUS: 4DATE:
09/30/2025
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Eva Fe Sosnovsky, LicenseeTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff are unable to communicate effectively with the residents
Staff are not meeting the needs and services for a resident
INVESTIGATION FINDINGS:
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This is an amended version of the original report crated on 9/30/2025.

Licensing Program Analyst (LPA) Lavette Farlow, conducted an unannounced visit to the facility to commence a complaint investigation regarding the above allegations. LPA was greeted and granted entrance at the door by Caregiver, Iluminada Silvino. LPA identified self and discussed the purpose of the visit. LPA also presented self to Licensee, Eva Fe Sosnovsky and discussed the purpose of the visit. LPA conducted interviews with staff and residents, reviewed documents and did a walk-through of the facility.

Allegation: Staff are unable to communicate effectively with the residents. It was alleged that staff can not communicate with residents in care. Interviews conducted with staff and residents revealed that residents are able to communicate with caregivers. S2 stated that we do have a new staff and English is not their first language, but they do speak English. S2 stated S3 does speak English and if S3 needs assistance with communication S3 will ask, but most of the time S3 figures it out.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
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-20250926104459
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: DOVE TREE MANOR
FACILITY NUMBER: 366426224
VISIT DATE: 09/30/2025
NARRATIVE
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LPA did not find any evidence of lack of communication between residents and staff, and no further information was obtained from interviews to provide details of lack of communication in the facility. Based on interviews and LPA observations, the allegation is unsubstantiated.

Allegation: Staff are not meeting the needs and services for a resident in care. It is alleged that staff are not meeting the needs of the residents in care. LPA interviewed four (4) residents and three (3) staff. Interviews with four (4) out of four (4) residents revealed that staff are meeting residents needs and services. Residents stated staff assist them with their hygiene needs, and providing them with food and snack. LPA conducted interviews with three (3) out of three (3) staff. LPA's interview revealed that staff assist the residents in care with meals, medication, bathing, and hygiene needs. Based on interviews, and observation the allegation is unsubstantiated.

Based on observations, interviews and record review on the above allegations the findings are Unsubstantiated. A finding of unsubstantiated means although the allegations 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 provided to Licensee, Eva Fe Sosnovsky.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2