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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881480
Report Date: 08/20/2025
Date Signed: 08/20/2025 12:54:04 PM

Unfounded


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
04/08/2025 and conducted by Evaluator Janette Romero
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250408113819
FACILITY NAME:SAVANT OF RIVERSIDEFACILITY NUMBER:
331881480
ADMINISTRATOR:MOLLY BOWIEFACILITY TYPE:
740
ADDRESS:4609 ARLINGTON AVETELEPHONE:
(951) 462-1025
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:232CENSUS: 97DATE:
08/20/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Wellness Coordinator, Breanna JonesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
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7
8
9
Staff do not ensure that resident is getting medical treatment as necessary
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/20/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility to deliver findings regarding the allegations listed above. LPA met with Wellness Coordinator, Breanna Jones who was informed of the purpose of the visit.

Regarding the allegation, “Staff do not ensure that resident is getting medical treatment as necessary” it was alleged R1 requested lab work to manage their health care needs and an appointment has not been scheduled on behalf of the resident. LPA reviewed R1’s physician’s report dated 03/13/2025 and neither mild cognitive impairment (MCI) nor dementia are marked. R1 was interviewed and reported they arrange their own medical appointments. R1 further reported they were attempting to gain assistance with the lab work from a home health agency and was experiencing issues with the home health agency, not issues with the facility. R1 reported they did not seek assistance from facility staff to assist with this issue. Therefore, this allegation is unfounded. An exit interview was conducted and a copy of this report and Confidential Names list (LIC 811) were reviewed and provided to Wellness Coordinator Jones.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
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
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
04/08/2025 and conducted by Evaluator Janette Romero
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250408113819

FACILITY NAME:SAVANT OF RIVERSIDEFACILITY NUMBER:
331881480
ADMINISTRATOR:MOLLY BOWIEFACILITY TYPE:
740
ADDRESS:4609 ARLINGTON AVETELEPHONE:
(951) 462-1025
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:232CENSUS: 97DATE:
08/20/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Wellness Coordinator, Breanna JonesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure that resident is taken to meals in a timely manner
Resident is being locked out of their room due to staff neglect
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/20/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility to deliver findings regarding the allegations listed above. LPA met with Wellness Coordinator, Breanna Jones who was informed of the purpose of the visit.

Regarding the allegation, “Staff do not ensure that resident is taken to meals in a timely manner” it was alleged facility staff do not respond to R1 when they are ready to be taken to meals. R1 was interviewed and reported that although they were not taken to meals in a timely manner the issue was currently resolved. R1 was unable to provide details such as how long their wait was, when the incidents occurred, the date of when R1 expressed their concern about the wait to staff and also the timeframe from when they voiced their concern to when the staff came up with a resolution. R1 reported they voiced their concerns to management. Management then arranged for R1 to be one of the first residents to be transported to the dining room for meals and back to their bedroom after meals. R1 reported they also informed their assigned caregiver the specific time they would like to be transported to the dining room for meals to which the caregivers accommodated. Staff interviews denied the allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20250408113819
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: SAVANT OF RIVERSIDE
FACILITY NUMBER: 331881480
VISIT DATE: 08/20/2025
NARRATIVE
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Three (3) of three (3) staff were interviewed and reported R1 is transported to the dining room for meals timely or at the time they request. Three (3) additional residents were identified as requiring assistance and be taken to meals. One (1) of three (3) residents were unavailable for an interview. Two (2) of three (3) residents interviewed reported being taken to the dining room in a timely manner or ten minutes before the meal services begin. Therefore, this allegation is unsubstantiated.

Regarding the allegation, “Resident is being locked out of their room due to staff neglect” it was alleged R1 does not have a key to their room and is consistently locked out. R1 was interviewed and reported they have a key to their bedroom door leading from the facility’s hallway but their request for a key to their bedroom door leading to the outside of the facility was denied by facility staff. R1 reported they have not been locked out of their room. LPA toured R1’s bedroom and observed one door leads to the facility hallway and the other leads to the outside of the facility. LPA also observed the door leading to the outside of the facility requires a key to gain entry into R1’s bedroom from outside the building and has a lever door handle from inside the bedroom with a push button release, giving R1 the ability to unlock the door from the inside without a key. Three (3) of three (3) staff were interviewed and refuted the allegations. One (1) of three (3) staff interviews conducted reported R1 requested a key to their bedroom door leading to the outside of the facility due to their visitor disliking checking in through the main entrance and signing the visitor’s log. Staff interviews revealed R1’s request for a key to their bedroom door leading to the outside of the facility was denied because it uses a master key that opens eight (8) other resident rooms. If the master key was provided to R1, they would have access to other resident rooms. Additionally, staff carry one (1) master key to be able to assist residents residing in the nine (9) bedrooms to evacuate the building in the event of an emergency. Based on interviews conducted and records reviewed, this allegation is unsubstantiated. An exit interview was conducted and a copy of this report and Confidential Names list (LIC 811) was reviewed and provided to Wellness Coordinator Jones.
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3