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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330905299
Report Date: 05/15/2025
Date Signed: 05/15/2025 04:13:34 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
03/23/2022 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220323122333
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:
05/15/2025
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ghislaine (Gigi) RamasarTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Resident sustained injury while in care
Facility fire alarm is covered up to prevent residents from pulling it
Resident hygiene needs are not met
Staff does not ensure that residents have incontinence supplies
Residents are not provided a variety of quality foods of a sufficient quantity
Resident files are incomplete
Resident medications are mismanaged
Facility Medication records (MAR) are inaccurate
Administrator is not at the facility a sufficient amount of time
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannouced complaint visit to the facility. LPA met with Licensee Ghislaine (Gigi) Ramasar and informed the purpose of the visit. The investigation consisted of LPA observations, pertinenant record review, interviews with staff and residents.

Regarding the allegation, resident sustained injury while in care, the Licensee, four (4) staff, and six (6) residents interviewed deny the allegation that resident sustained injuries while in care.

Regarding the allegation, facility fire alarm is covered up to prevent residents from pulling it, LPA observed the facility's pull alarm plastic cover can be lifted and the alarm can be pulled. The cover is not taped or bolted down to prevent from opening.

Regarding the allegation, resident hygiene needs are not met, LPA observed a sufficient supply of tooth paste, soaps, shampoo, lotion, stored at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
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 18-AS-20220323122333
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: 05/15/2025
NARRATIVE
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The Licensee, four (4) staff, and six (6) residents reveal not enough evidence to corroborate the allegation.

Regarding the allegation, staff does not ensure that resident have incontinence supplies, LPA observed a sufficient amount of incontinence supplies stored at the facility. Interviews with the Licensee, four (4) staff and six (6) resident reveal not enough evidence to corroborate the allegation.

Regarding the allegation,residents are not provided a variety of quality foods of a sufficient quantity, LPA observed a sufficient supply of nonperishable foods and perishable foods stored at the facility; which included fruits and vegetables. Interviews with the Licensee, four (4) staff and six (6) residents reveal not enough evidence to corroborate the allegation.

Regarding the allegation, resident files are incomplete, LPA pertinent record review, interviews with the Licensee and four (4) staff reveal not enough evidence to corroborate the allegation.

Regarding the allegation, resident medications are mismanaged, LPA pertinent record review, interviews with the Licensee, four (4) staff and six (6) residents reveal not enough evidence to corroborate the allegation.

Regarding the allegation, facility medication records (MAR) are inaccurate, LPA pertinent record review, interviews with the Licensee, and four (4) staff reveal not enough evidence to corroborate the allegation.

Regarding the allegation, Administrator is not at the facility a sufficient amount of time, interviews with the Licensee, four (4) staff and six (6) residents reveal not enough evidence to corroborate the allegation.

Based investigation findings, the allegations are Unsubstantiated. 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 with this report was discussed and a copy 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: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2