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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880546
Report Date: 05/19/2025
Date Signed: 05/19/2025 02:44:10 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
03/04/2024 and conducted by Evaluator Mary Rico
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240304151408
FACILITY NAME:ESTANCIA DEL SOLFACILITY NUMBER:
331880546
ADMINISTRATOR:LISA HUNTFACILITY TYPE:
740
ADDRESS:2489 CALIFORNIA AVETELEPHONE:
(951) 268-9697
CITY:CORONASTATE: CAZIP CODE:
92881
CAPACITY:135CENSUS: 118DATE:
05/19/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Administrator - Lisa HuntTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are not properly cleaning and sanitizing dishes and utensils.
Staff do not follow hand hygiene procedures.
Staff do not treat residents with dignity and respect.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Mary Rico and Antionette Davis conducted unannounced visit to deliver findings for the allegations listed above. LPA met Administrator Lisa Hunt and explained the purpose of the visit. The investigation consisted of resident interviews, staff interviews, facility tour and document review.

For the allegation, Staff are not properly cleaning and sanitizing dishes and utensils.

During staff interviews, 6 out of the 6 staff stated they will properly clean and sanitize the dishes and utensils. During resident interviews 7 out the 8 residents stated the staff provide clean dishes and utensils. During facility tour, LPA observed clean dishes and utensils.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025
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-20240304151408
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: ESTANCIA DEL SOL
FACILITY NUMBER: 331880546
VISIT DATE: 05/19/2025
NARRATIVE
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For the allegation, Staff do not follow hand hygiene procedures.

During staff interviews 6 out of the 6 staff stated they follow all hygiene procedure. During record review, LPA verify the facility staff have been properly train for hygiene procedure. During facility tour, LPA observed staff using proper hygiene procedures.

For the allegation, Staff do not treat residents with dignity and respect.

During staff interviews 6 out of the 6 staff stated they treat their resident with dignity and respect. During resident interviews 7 out of the 8 clients stated they are treated with respect and dignity.

Based on the evidence found during the investigation, the three (3) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.


An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Lisa Hunt.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025
LIC9099 (FAS) - (06/04)
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