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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881349
Report Date: 12/17/2025
Date Signed: 12/17/2025 12:49:09 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
04/22/2024 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20240422101017
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:
12/17/2025
UNANNOUNCEDTIME BEGAN:
09:11 AM
MET WITH:Brooke Abrego-HuertaTIME COMPLETED:
12:46 PM
ALLEGATION(S):
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Facility is not staffed to meet residents needs
Staff are not adhering to hygiene measures with resident's food
Facility does not have a menu
INVESTIGATION FINDINGS:
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On December 17, 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 May 1, 2024, 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). On December 16, 2025, the Department determined that the complaint needs further investigation to render a finding. On December 17, 2025 the Department conducted 1 resident interviews (R5) and review relevent documents.
Page 1 of 4
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025
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 4
Control Number 18-AS-20240422101017
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: 12/17/2025
NARRATIVE
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Allegation: Facility is not staffed to meet residents’ needs

The detail of complaint alleges that care givers and Medtech staff working in kitchen and performing cleaning tasks in addition to their duties

On December 16, 2025, at 1:30pm, the Department interviewed Brooke Abrego-Huerta (A1) who denied the allegation stating that the facility is meeting the needs of the residents. A1 further stated that all employees are considered caregivers, so if there is a need, then they will step in and help.

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 they have enough staff to meet the needs of the residents and when there is a need everyone works together to help.

On December 16, 2025, and December 17, 2025, the Department observed that there was adequate staff at time of the visits.

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. On December 17, 2025, the Department interviewed 1 additional resident (R5) who also stated that they are treated well and there is adequate staff to meet their needs.

On December 17, 2025, the Department reviewed and evaluated the following documents: Staff schedule (dated: December 2025, May 2024), client roster (dated 12/16/25), 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.

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

DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 18-AS-20240422101017
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: 12/17/2025
NARRATIVE
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Allegation: Staff are not adhering to hygiene measures with resident's food

The detail of the complaint alleges that due to the caregivers doing kitchen work, there is a concern for adherence to hygiene measures.

On December 16, 2025, at 1:30pm, the Department interviewed Brooke Abrego-Huerta (A1) who denied the allegation stated that the facility makes sure every staff has Riverside County Food Handler’s certification which includes instruction of proper hygiene measures.

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 they have a current food handler’s certificate. Additionally, 5 out of 5 state that they use proper hand hygiene measures while working at the facility.

On December 17, 2025, the Department reviewed and evaluated the following documents: 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)

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.

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

DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 18-AS-20240422101017
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: 12/17/2025
NARRATIVE
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Allegation: Facility does not have a menu

The detail of complaint alleges that the facility does not have a menu

On December 16, 2025, the Department requested and obtained a copy of facility menu (dated 12/14-12/20/2025).

On December 17, 2025, the Department reviewed past menus. The department observed that the facility has always had menus available.

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.

Page 4 of 4

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

DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4