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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530186
Report Date: 03/04/2026
Date Signed: 03/04/2026 02:32:26 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
02/24/2026 and conducted by Evaluator Hannah Rodgers
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260224094307
FACILITY NAME:PEPPERMINT RIDGEFACILITY NUMBER:
335530186
ADMINISTRATOR:BARRON, STEPHANIEFACILITY TYPE:
740
ADDRESS:648 LOCUST STTELEPHONE:
(951) 273-7320
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:4CENSUS: 4DATE:
03/04/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Administrator Stephanie Barron & Operations Manager Jessica PazTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not provide adequate food service
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to initiate and deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Administrator Stephanie Barron.

On February 24, 2026, it was alleged that staff did not provide adequate food service. According to the allegation received, the food that was bought for the facility was food that residents do not eat or cannot eat. It was alleged that staff are only providing residents with food that staff enjoy and residents do not.

The Department’s investigation consisted of an unannounced facility visit, records review, and staff and resident interviews.

[CONTINUED ON LIC9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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-20260224094307
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: PEPPERMINT RIDGE
FACILITY NUMBER: 335530186
VISIT DATE: 03/04/2026
NARRATIVE
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Interviews with staff and residents did not reveal concern with the meals and snacks provided for residents. During LPA’s visit on March 4, 2026, LPA observed at least 2-days perishable food and at least 7-days non-perishable food all safely stored. Review of the facility food menu did not reveal inadequate meals were provided.

Based on LPA observations, interviews, and record review, the investigation did not yield a preponderance of evidence to conclude staff did not provide adequate food service. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Operations Manager Jessica Paz, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2