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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880723
Report Date: 04/23/2025
Date Signed: 04/23/2025 01:28:05 PM

Unfounded


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
04/22/2025 and conducted by Evaluator Eldin Serrano
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250422082147
FACILITY NAME:ATIENZA RESIDENTIAL CAREFACILITY NUMBER:
331880723
ADMINISTRATOR:ARMSTRONG, CAROLINEFACILITY TYPE:
740
ADDRESS:1328 GALAXY DRTELEPHONE:
(909) 792-3835
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY:6CENSUS: 2DATE:
04/23/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Irene Huliselan, CaregiverTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility staff leave residents in soiled clothing for an extended period of time
INVESTIGATION FINDINGS:
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On 4/23/2025 at 12:15 PM, Licensing Program Analyst (LPA) Eldin Serrano conducted an unannounced visit to the facility to commence a complaint investigation. LPA Serrano was greeted and granted entrance by caregiver Irene Huliselan. LPA discussed the purpose of the visit and the elements of the allegations with administrator Caroline Armstrong. LPA Serrano conducted a quick tour of the facility and interviewed the administrator.

Regarding allegation "Facility staff leave residents in soiled clothing for an extended period of time." LPA Serrano interviewed the administrator over the phone to investigate the allegation and LPA learned that the alleged victim does not live in this facility but used to live at the other Atienza facility in Redlands. Previous complaints received 4/2/2025 verified that this facility was vacant and no residents here on the date of the allegation.

****continue on LIC9099C****
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
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-20250422082147
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: ATIENZA RESIDENTIAL CARE
FACILITY NUMBER: 331880723
VISIT DATE: 04/23/2025
NARRATIVE
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Based on evidence obtained during this investigation, the allegation is Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted with caregiver Irene Huliselan and a copy of this report, LIC9099 was discussed and provided.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2