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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 07/30/2024
Date Signed: 07/30/2024 02:33:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/29/2024 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240729092749
FACILITY NAME:SAVANT OF JURUPA VALLEYFACILITY NUMBER:
335530032
ADMINISTRATOR:PATRICK L. MCADOO-MORTONFACILITY TYPE:
740
ADDRESS:5881 EL PALOMINO DRIVETELEPHONE:
(951) 683-3333
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:197CENSUS: 158DATE:
07/30/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Danielle Garcia, Business ManagerTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Staff does not ensure the admissions agreement is being followed
Staff does not ensure personal funds are disbursed to resident in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto, LPA Ramirez and LPA Farlow arrived to the facility to conduct a complaint investigation regarding thements of the complaint.

Regarding the allegation that staff does not ensure the admissions agreement is being followed; LPAs interviewed resident #1 (R1), in question, and confirmed the perameters relating to the facility admisson's agreement is established regarding resident vistation hours. A copy of the admission's report addressing the visiting hours were obtained by LPAs and reveals the facility is following the terms of the agreement. above allegations. LPAs, met with Danielle Garcia, Business Manager and dicussed the ele
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
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-20240729092749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: SAVANT OF JURUPA VALLEY
FACILITY NUMBER: 335530032
VISIT DATE: 07/30/2024
NARRATIVE
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Regarding the allegation that staff does not ensure personal funds are disbursed to resident in a timely manner. Records were from facility Business Manager regarding R1 personal funds which reveal that funds are being dispensed appropriately. Documentation was obtained from the Business Manager for this report.

Based on the information obtained there is not enough evidence that staff does not ensure the admissions agreement is being followed and staff does not ensure personal funds are disbursed to resident in a timely manner. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto, LPA Ramirez and LPA Farlow and Business Manager Garcia and a copy of the report was left with the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2