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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 07/29/2025
Date Signed: 07/29/2025 05:15:20 PM

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
04/08/2025 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20250408092644
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: 144DATE:
07/29/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Executive DIrector, Marc PaciaTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Staff are not meeting resident bathing needs
Staff are not providing adequate food service
Staff are not answering resident call buttons in a timely manner
Staff do not keep facility free from odor
INVESTIGATION FINDINGS:
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On 07/29/2025 at 1:00PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with Executive Director, Marc Pacia. The investigation consisted of interviews, observation and record review.

In regards to the allegation that staff are not meeting resident bathing needs:
LPA interviewed five (5) staff and ten (10) residents. Staff stated that residents are assisted with showers two (2) times a week and as needed. All ten (10) residents interviewed stated that they are receiving assistance with their showers weekly. LPA observed documentation by the facility detailing Resident 1 (R1) refusal of shower assistance. Based on interviews and record review, this allegation is UNSUBSTANTIATED.

In regards to the allegaton that staff are not providing adequate food service:
The facility's Admission Agreement states that the facility will provide three (3) meals per day and snacks. LPA observed the kitchen's pantry, refrigerator and freezer to be fully stocked with a variety of food, snacks and beverages. All ten (10) residents stated that they receive meals and snacks. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
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 2
Control Number 56-AS-20250408092644
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: SAVANT OF JURUPA VALLEY
FACILITY NUMBER: 335530032
VISIT DATE: 07/29/2025
NARRATIVE
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In regards to the allegation that staff are not answering resident call buttons in a timely manner:
Staff stated that they respond to call buttons in a timely manner. All ten (10) residents stated that their call buttons work and staff respond to assist them. LPA observed several staff respond to call buttons during the visit. Based on interviews and observation, this allegation is UNSUBSTANTIATED.

In regards to the allegation that staff do not keep facility free from odor:
Staff stated that their housekeeping department maintains the facility's common areas, bathrooms and resident rooms. The facility has air fresheners in each of their hallways. Staff take measures to dispose of soiled materials to ensure that the facility's odor remains pleasant. Based upon interviews and observation, this allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and a copy was provided to Executive Director, Marc Pacia.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2