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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426710
Report Date: 11/17/2022
Date Signed: 11/17/2022 11:25:25 AM

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
11/15/2022 and conducted by Evaluator Anna Bueno
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20221115110957
FACILITY NAME:LINDA VALLEY ASSISTED LIVINGFACILITY NUMBER:
366426710
ADMINISTRATOR:BROOKE ABREGOFACILITY TYPE:
740
ADDRESS:25393 COLE ST.TELEPHONE:
(909) 799-3117
CITY:LOMA LINDASTATE: CAZIP CODE:
92354
CAPACITY:64CENSUS: 49DATE:
11/17/2022
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Brooke Abrego-HuertaTIME COMPLETED:
11:28 AM
ALLEGATION(S):
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Facility does not have hot water.
Facility staff did not ensure that residents received showers while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Anna Bueno and Amber Coleman conducted an unannounced visit to the facility to investigate the above mentioned complaint allegation and deliver findings. LPAs identified themselves to marketing director Logan Harrison who was notified of the reason for today’s visit and the elements of the allegation. Administrator Brooke Abrego-Huerta arrived shortly and was informed of the complaint visit. The investigation included interviews and records review.

The allegations are that the Facility does not have hot water and the Facility staff did not ensure that residents received showers while in care. On the evening of 11/9/2022, it was discovered that the facility water was only warming intermittently. Two vendors that came out to the facility on 11/10/22 and informed Administrator that the boiler went out and part needed for repair will not be available until two to fours weeks. On 11/11/22, a specialty third vendor came to the facility and was able to make the needed repairs on 11/16/2022. Resident and staff interviews confirmed that shower alternatives were provided during this time. Staff interviews revealed 10 residents are signed up for shower services however wipes and additional hygiene items, such as dry shampoo,
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Anna BuenoTELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022
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-20221115110957
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: LINDA VALLEY ASSISTED LIVING
FACILITY NUMBER: 366426710
VISIT DATE: 11/17/2022
NARRATIVE
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were offered to all residents. These allegations are therefore unsubstantiated.

A finding of UNSUBSTANTIATED means 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 with Mrs. Abrego-Huerta and a copy of this report was provided.
SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Anna BuenoTELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2