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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 12/02/2025
Date Signed: 12/02/2025 03:21:20 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
12/01/2025 and conducted by Evaluator Javier Prieto
COMPLAINT CONTROL NUMBER: 56-AS-20251201104421
FACILITY NAME:SAVANT OF JURUPA VALLEYFACILITY NUMBER:
335530032
ADMINISTRATOR:PATRICK L. MCADOO-MORTONFACILITY TYPE:
740
ADDRESS:5881 EL PALOMINO DRIVETELEPHONE:
(951) 685-3333
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:197CENSUS: 134DATE:
12/02/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Marc Pacia, Executive DirectorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Staff do not ensure resident's room is clean and sanitary
Staff do not ensure resident has clean bedding
Staff do not ensure resident's showering needs are being met
Staff do not ensure resident's is being assisted with dressing
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Executive Director Pacia and explained the elements of the complaint.

Allegation #1 - LPA Prieto toured the room of resident #1 (R1), in question, and the room was observed to be clean and sanitary. The carpet was freshly cleaned and room was neat and in order. Executive Director (S1) provided LPA with orders for the carpet cleaning which was 4 times for the current year. These orders were obtained for this complaint investigation. R1 states that staff does a good job of ensuring room is clean.

Allegation #2 - LPA Prieto toured the room of R1 was observed to have clean linings. R1 states that his bedding is changed accordingly. R1 service plan was provide to LPA by S1 indicating that R1 has additional services with laundry, housekeeping, daily tidy and trash pick up. These services are routine and as scheduled by housekeeping staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
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-20251201104421
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: 12/02/2025
NARRATIVE
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Allegation #3 - R1 states that his showering needs are being met. R1 service plan was provide to LPA by S1 indicating that R1 has full assistance with showering. S1 states that R1's needs are being met of being assisting R1 with bathing, 1 person assist, 2X per week.

Allegation #4 - R1 states that his dressing needs are being met. R1 service plan was provide to LPA by S1 indicating that R1 has full assistance with dressing. S1 states that R1's needs are being met of being assisting R1 with dressing in the morning and at bedtime.

Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Pacia and a copy was left with the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2