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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881349
Report Date: 12/16/2025
Date Signed: 12/16/2025 04:38:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
05/07/2024 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20240507160515
FACILITY NAME:MANZANITA VILLAGE AT RANCHO BELAGOFACILITY NUMBER:
331881349
ADMINISTRATOR:TAYLOR, KAMESHIFACILITY TYPE:
740
ADDRESS:27900 BRODIAEA AVENUETELEPHONE:
(951) 379-0100
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY:125CENSUS: 124DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
12:18 PM
MET WITH:Brooke Abrego-HuertaTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff are not able to meet the needs of residents in care due to staff shortage.
INVESTIGATION FINDINGS:
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On December 16, 2025, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegations and to deliver findings. The Department was met by Brook Abrego-Huerta Administrator and the purpose of the visit was explained.

Investigation consisted of the following:
On August 26, 2025, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegations mentioned above. During the visit, it was determined that the complaint required further investigation.
On December 16, 2025, the Department requested and obtain the following documents:
Staff schedule (dated: December 2025, May 2024), client roster (dated 12/16/25) Riverside county food handlers certificates for staff with the following expiration dates: 12/3/27, 11/18/27, 11/26/27, 11/6/27), Facility Menu (dated 12/14-12/20/2025).
the Department conduct interviews with Administrator (A1), 5 staff (S1-S5) 4 residents (R1-R4)
Page 1 of 3

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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 3
Control Number 18-AS-20240507160515
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: MANZANITA VILLAGE AT RANCHO BELAGO
FACILITY NUMBER: 331881349
VISIT DATE: 12/16/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff are not able to meet the needs of residents in care due to staff shortage.

The detail of complaint alleges that on 5/5/24, only one staff member assisting all 20 residents.

On December 16, 2025, at 1:30pm, the Department interviewed Brooke Abrego-Huerta (A1) who denied the allegation stating that the facility is not understaffed now and was not understaffed in May of 2024 as complaint indicated. A1 further stated that there is enough staff to meet the residents’ needs.

On December 16, 2025, between 2:00pm and 3:30pm, the Department interviewed 5 staff (S1-S5) regarding the allegation. Of those interviewed, 5 out of 5 denied the allegation stating the facility has enough staff to meet the needs of the residents and has never been understaffed since they have been there.

On December 16, 2025, at time of visit, the Department made observation during tour of the facility and observed adequate staff.

On December 16, 2025, between 3:30pm and 4:30pm the Department interviewed 4 Residents (R1-R4). Of those interviewed, 4 out of 4 stated that they are treated well and stated that there is adequate staffing to meet their needs.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20240507160515
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: MANZANITA VILLAGE AT RANCHO BELAGO
FACILITY NUMBER: 331881349
VISIT DATE: 12/16/2025
NARRATIVE
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On December 16, 2025, the Department reviewed and evaluated the following documents: Staff schedule (dated: December 2025, May 2024), client roster (dated 12/16/25) Riverside county food handler’s certificates for staff with the following expiration dates: 12/3/27, 11/18/27, 11/26/27, 11/6/27), Facility Menu (dated 12/14-12/20). During review of the documents the Department found that the facility maintains adequate staffing.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

There were no deficiencies cited during today’s visit.

Exit interview conducted with Administrator and copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3