336407734-5-14-2025-18-AS-APEZ-DGQRR3-20250516131427

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336407734
Report Date: 05/14/2025
Date Signed: 05/14/2025 02:20:34 PM

Unsubstantiated

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
05/22/2024 and conducted by Evaluator Janira Arreola

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20240522141952

FACILITY NAME:	PICO DE LORO		FACILITY NUMBER:	336407734
ADMINISTRATOR:	VIVIEN RILLO/EFREN RILLO		FACILITY TYPE:	740
ADDRESS:	620 NORTH PERRIS BLVD		TELEPHONE:	(951) 943-8081
CITY:	PERRIS	STATE: CA	ZIP CODE:	92571
CAPACITY:	45	CENSUS:	DATE:	05/14/2025
		UNANNOUNCED	TIME BEGAN:	11:43 AM
MET WITH:	Administrator, Yamberly Genesis Garcia		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Administrator is not on the premises a sufficient number of hours to permit adequate attention to the facility
Facility did not ensure that there were sufficient staff on the premises to assist and monitor residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Administrator, Yamberly Genesis Garcia, and Licensee Viven Rilo over the phone who were informed of the purpose of the visit. During the visit, LPA conducted interviews, conducted a walk through, and conducted records review.

It was alleged that "Administrator is not on the premises a sufficient number of hours to permit adequate attention to the facility." It was alleged Staff #1 (S1) who was the administrator of the facility in May of 2024 was not present at the facility to allow visitors into the facility. It was alleged on several visits S1 was not present at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20240522141952

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: PICO DE LORO	FACILITY NUMBER: 336407734
	VISIT DATE: 05/14/2025

NARRATIVE

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LPA attempted to conducted interview with S1, but they were unavailable for interview. LPA conducted interview with (5) staff who worked at the facility May of 2024. (5) of (5) staff revealed S1 was at the facility almost every day. The staff revealed S1 was seen continuously and from morning to afternoon at the facility. LPA conducted (5) resident interviews. (3) of (5) residents stated they did not know who S1 was, while (2) of (5) resident's stated they regularly see S1 at the facility checking on residents. LPA attempted to conduct records review for staff schedule from March 2024, however none was available at the time of the visit. Therefore, the allegation that S1 was not present at the facility enough hours to oversee the operations is unsubstantiated.

It was alleged "Facility did not ensure that there were sufficient staff on the premises to assist and monitor residents." It was alleged around May of 2024 only (2) staff were present at the facility. It was also alleged the week of 09/16/2024 there were only (3) staff present at the facility. LPA attempted to interview S1 on staffing, but S1 was unavailable for interview. LPA interviewed (5) staff who worked May and September of 2024 at the facility who denied the facility is short staffed. LPA interviewed (5) residents. (4) of (5) stated there are enough staff at the facility to check on residents every 30 minutes, and residents use call buttons to summon staff. (1) of (4) residents stated the facility is short staffed and stated they are often short (1) care giver.

LPA attempted to conduct records review for staff schedule from March 2024 and September of 2024, however none was available at the time of the visit. LPA conducted record review of the current schedule and observed staff present during the visit who were checking on residents and assisting residents with activities of daily living. LPA observed (5) staff present during the visit. Therefore, the allegation that staff is not present at the facility enough hours to monitor the residents is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025

LIC9099 (FAS) - (06/04)

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