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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336405886
Report Date: 07/18/2024
Date Signed: 11/03/2025 02:07:09 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
07/12/2024 and conducted by Evaluator Stephanie Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240712084308
FACILITY NAME:INTEGRATED CARE COMMUNITIES - B2FACILITY NUMBER:
336405886
ADMINISTRATOR:EMELY C. RODRIGUEZFACILITY TYPE:
740
ADDRESS:14315 NASON STREETTELEPHONE:
(951) 601-9170
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY:20CENSUS: 17DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:LVN, Amber CroftTIME COMPLETED:
10:52 AM
ALLEGATION(S):
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Staff does not ensure resident is provided a comfortable temperature.
INVESTIGATION FINDINGS:
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***This is an amended version of the original report***

On 11/3/2025, Licensing Program Analyst (LPA), Valerie Flores conducted an unannounced visit to the facility to deliver the investigative findings into the listed allegation. LPA Flores met with LVN, Amber Croft, and explained to Amber the purpose of the visit.

Information received alleged staff did not ensure Resident #1 (R1) is provided a comfortable temperature in R1’s unit. Upon review, LPA Flores discovered complaint 18- AS-20240712084308 and complaint 18-AS-20240711164133 are referring to the same resident and is detailing the same allegation. After speaking with Administrator Emely Rodriguez, Emely confirmed R1 was residing at Integrated Care Communities – B1 and has never resided at Integrated Care Communities – B2.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 18-AS-20240712084308
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: INTEGRATED CARE COMMUNITIES - B2
FACILITY NUMBER: 336405886
VISIT DATE: 07/18/2024
NARRATIVE
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 Being that R1 has never resided at Integrated Care Communities – B2, the allegation against Integrated Care Communities – B2 could not have happened.

Therefore, the allegation of staff does not ensure resident is provided a comfortable temperature has been deemed unfounded. An allegation with a finding that is deemed unfounded means the allegation is false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted, and a copy of this report was provided to LVN, Amber Croft.

***This is an amended version of the original report***
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2