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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880916
Report Date: 05/16/2025
Date Signed: 05/16/2025 10:46:22 AM

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
02/27/2024 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240227095847
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: 2DATE:
05/16/2025
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Facility Manager-Emanuel Torres TIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
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9
Staff hit resident.
INVESTIGATION FINDINGS:
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13
Licensing Program Analysts (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on a complaint alleging Staff hit Resident #1 (R1) LPA Singh met with Staff-Ashley castanon, facility representative, and was granted entry into the facility. The facility Manager-Emanuel Torres arrived during the visit. The investigation conducted by LPA Singh consisted of interviews and records review.

For the allegation, Staff hit Resident
LPA Singh conducted (2) resident interviews. 2 out of the 2 stated that no staff have ever hit resident#1 or any residents in care and have not witnessed staff hitting any residents in care. 2 residents were out in the community attending day program including Resident#1. LPA Singh conducted (2) staff interviews. 2 out of the 2 staff stated no staff has ever hit any residents in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
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-20240227095847
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: 05/16/2025
NARRATIVE
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Based on the evidence found during the investigation, the 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.

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 Manager Emmanuel Torres.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2