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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881033
Report Date: 02/20/2026
Date Signed: 02/20/2026 10:43:26 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
08/15/2023 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20230815164705
FACILITY NAME:ROYALTY SENIOR LIVINGFACILITY NUMBER:
331881033
ADMINISTRATOR:RILEY, TA'NEISHAFACILITY TYPE:
740
ADDRESS:10104 KINGS CTTELEPHONE:
(951) 416-1064
CITY:JURUPA VALLEYSTATE: CAZIP CODE:
92509
CAPACITY:6CENSUS: 3DATE:
02/20/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Ta'Neisha RileyTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
Resident was sexually assaulted by another resident in care.
Staff did not report incident to CCL.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Raquel Hernandez conducted an unannounced visit for the purpose of delivering findings for allegations listed above. LPA met with Administrator Ta'Neisha Riley and explained the purpose of the visit.

On 08/15/2023, the Department received a complaint alleging that a resident was being sexually assaulted by another resident in care. The Department investigation consisted of reviews of facility files and other records, observations, and interviews with pertinent individuals.

It is alleged that Resident #1 (R1) was sexually assaulted by Resident #2 (R2) at facility on 08/13/2023, sometime late at night. Department staff interviewed R1 pertaining to the allegation of sexual assault and R1 denied that the allegation occurred. Based on observations and interviews, the department was unable to determine if sexual assault did or did not occur.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
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-20230815164705
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: ROYALTY SENIOR LIVING
FACILITY NUMBER: 331881033
VISIT DATE: 02/20/2026
NARRATIVE
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It is also alleged that facility staff did not report the incident to Community Care Licensing (CCL). Observation of records review revealed that a special incident report (SIR) was received in the CCL regional office on 08/22/2023, regarding the mentioned allegation.

Based on interviews conducted and evidence gathered during this investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the allegations are UNSUBSTANTIATED means although the allegations may have happened or is valid, there is no preponderance of the evidence to prove that the alleged violation occurred.

During today’s visit, no deficiencies pertaining to the allegations 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 Ta'Neisha Riley.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
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