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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330905299
Report Date: 02/20/2026
Date Signed: 02/20/2026 03:21:58 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
07/03/2024 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20240703091417
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:
92860
CAPACITY:29CENSUS: 24DATE:
02/20/2026
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Administrator, Melisande SevillaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff pushed a resident resulting in an injury
Staff engaged in a verbal altercation with a resident
INVESTIGATION FINDINGS:
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On 02/20/2026 Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to deliver findings for the above allegations. LPA met with Administrator, Melisande Sevilla , introduced self and stated the purpose of the visit.

It is alleged that staff pushed a resident resulting in an injury. LPA conducted interviews with current residents and staff. Resident 1 (R1) was discharged from the facility on 08/14/2024 and was not available to be interviewed. LPA interviewed residents and residents denied witnessing the allegation. LPA interviewed staff and staff denied the allegation. Based on interviews conducted with residents and staff, and a review of facility records, the allegation is UNSUBSTANTIATED.

It is alleged that staff engaged in a verbal altercation with resident.Residents interviewed denied witnessing a verbal altercation between staff and resident. LPA conducted interviews with residents and staff. Residents stated that staff are nice and treat them well.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
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-20240703091417
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: CREST HOME FOR THE ELDERLY
FACILITY NUMBER: 330905299
VISIT DATE: 02/20/2026
NARRATIVE
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LPA interviewed staff and staff denied the allegation. Based on interviews conducted with residents and staff, the allegation is UNSUBSTANTIATED.

An UNSUBSTANTIATED complaint is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report LIC9099 and LIC9099C were discussed and copy provided to Administrator, Melisande Sevilla.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2