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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330905299
Report Date: 04/28/2025
Date Signed: 04/28/2025 03:45:10 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
03/30/2022 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220330102307
FACILITY NAME:CREST HOME FOR THE ELDERLYFACILITY NUMBER:
330905299
ADMINISTRATOR:RAMASAR, OSCARFACILITY TYPE:
740
ADDRESS:4460 CREST VIEW DRIVETELEPHONE:
(951) 736-2921
CITY:NORCOSTATE: CAZIP CODE:
91760
CAPACITY:29CENSUS: 28DATE:
04/28/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Oscar RamasarTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff denied residents access to their rooms
Staff yelled at the residents while in care
Facility has inadequate staffing
Staff do not seek timely medical attention for the residents
Staff do not meet a resident's diabetic needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility for the above allegations. After introducing self, LPA met with Administrator Oscar Ramasar and Ghislaine (Gigi) Ramasar, and discussed the purpose of the visit.

Regarding the allegation, staff denied residents access to their rooms, interviews with the Administrator, four (4) staff, and five (5) residents reveal not enough evidence to corroborate the allegation.

Regarding the allegation, staff yelled at the residents while in care, interviews with the Administrator, four (4) staff, and five (5) residents reveal not enough evidence to corroborate the allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025
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 4
Control Number 18-AS-20220330102307
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CREST HOME FOR THE ELDERLY
FACILITY NUMBER: 330905299
VISIT DATE: 04/28/2025
NARRATIVE
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Regarding the allegation, facility has inadequate staffing, interviews with the Administrator, four (4) staff and five (5) residents reveals not enough evidence to corroborate the allegation.

Regarding the allegation, staff do not seek timely medical attention for the residents, interviews with the Administrator, four (4) staff and five (5) resident reveals not enough evidence to corroborate the allegation.

Regarding the allegation, staff do not meet a resident's diabetic needs, interviews with the Administrator, four (4) staff and five (5) resident reveals not enough evidence to corroborate the allegation.

Based on LPA record reviewed and interviews the allegations are Unsubstantiated. Unsubstantiated means 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 and a copy of this report was provided with appeal rights to the Licensee at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
03/30/2022 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220330102307

FACILITY NAME:CREST HOME FOR THE ELDERLYFACILITY NUMBER:
330905299
ADMINISTRATOR:RAMASAR, OSCARFACILITY TYPE:
740
ADDRESS:4460 CREST VIEW DRIVETELEPHONE:
(951) 736-2921
CITY:NORCOSTATE: CAZIP CODE:
91760
CAPACITY:29CENSUS: 28DATE:
04/28/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Oscar RamasarTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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9
Staff do not have planned activities for the residents
INVESTIGATION FINDINGS:
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5
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13
Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility for the above allegation. After introducing self, LPA met with Administrator Oscar Ramasar & Licensee Ghislaine (Gigi) Ramasar and discussed the purpose of the visit.

Regarding the allegation, staff do not have planned activities for the residents, interviews with four (4) out of five (5) resident reveals that staff do not have planned activities for them. LPA requested activities records for the past months from Administrator Ramasar. Administrator stated that they did not keep copies of past activities. The facility currently has staff #1 (S1) that splits their time between caregiving and planning activities. S1 is being provided training on planned activities.
Based on record review, observations, and interviews the allegation is Substantiated. A Substantiated meaning that the allegation(s) is valid because the preponderance of the evidence standard has been met.
An exit interview was conducted where reports (LIC9099&LIC9099-D) were discussed and provided with appeal rights to the Administrator at the conclusion of the visit.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 18-AS-20220330102307
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CREST HOME FOR THE ELDERLY
FACILITY NUMBER: 330905299
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/05/2025
Section Cited
CCR
87219(b)
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87219(b)Residents served shall be encouraged to contribute to the planning, preparation, conduct, clean-up and critique of the planned activities. This requirement is not met at evidenced by:
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The Licensee/Administrator shall shall review the regulation cited and provide a statement of understanding to the licensing agency by POC due date.
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The Licensee did not comply with the section cited above by four (4) out of five (5) residents interviews reveals they were not aware of staff planned activities which poses a potential health, safety, and personal rights risk to persons in care
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Type B
05/05/2025
Section Cited
CCR
87219(e)
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87219(e)In facilities licensed for sixteen (16) to forty-nine (49) persons, one staff member, designated by the administrator, shall have primary responsibility for the organization, conduct and evaluation of planned activities. This person shall have had at least six (6) months experience in providing planned activities or have completed or be enrolled in an appropriate education or training program. This requirement is not met at evidenced by:
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The Licensee shall review the regulation cited and submit a statement of understanding to the licensing agency by POC due date.
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The Licensee did not comply with the section cited above by not having a dedicated staff with required training and/or experience to plan and conduct resident activities which poses a potential healh, 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: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4