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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880916
Report Date: 02/04/2025
Date Signed: 02/04/2025 02:18:02 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
01/30/2025 and conducted by Evaluator Raquel Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250130125122
FACILITY NAME:ADVENTURE CARE HOMEFACILITY NUMBER:
331880916
ADMINISTRATOR:CANTORIA, MARIAFACILITY TYPE:
740
ADDRESS:1992 TEMESCAL AVE.,TELEPHONE:
(909) 569-2280
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY:6CENSUS: 4DATE:
02/04/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:House Manager Priscilla Castnon and Emmanuel TorresTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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Staff did not prevent resident from physically abusing other resident while in care.
Licensee does not ensure that residents are being provided a safe environment while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with House Managers Priscilla Castnon and Emmanuel Torres and explained the purpose of the visit. The investigation consisted of staff and resident interviews and request of documentation.

For the allegation, Staff did not prevent resident from physically abusing other residents while in care.

LPA Hernandez conducted (4) resident interviews. 3 out of the 4 stated that no residents have physically abused them nor have witnessed other residents being abused by residents in care. 1 out of the 4 residents were unable to answer question. LPA Hernandez conducted (2) staff interviews. 2 out of the 2 staff stated no residents in care are being physically abused by other residents in care.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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-20250130125122
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: ADVENTURE CARE HOME
FACILITY NUMBER: 331880916
VISIT DATE: 02/04/2025
NARRATIVE
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For the allegation, Licensee does not ensure that residents are being provided a safe environment while in care.

LPA Hernandez conducted (4) resident interviews. 4 out of the 4 residents stated they feel safe while in care at the facility. LPA Hernandez conducted (2) staff interviews. 2 out of the 2 staff stated residents in care are being provided a safe environment at the facility.

Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

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 House Managers Priscilla Castnon and Emmanuel Torres.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2