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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336407734
Report Date: 05/14/2025
Date Signed: 05/14/2025 02:21:28 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
03/24/2025 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250324120159
FACILITY NAME:PICO DE LOROFACILITY NUMBER:
336407734
ADMINISTRATOR:VIVIEN RILLO/EFREN RILLOFACILITY TYPE:
740
ADDRESS:620 NORTH PERRIS BLVDTELEPHONE:
(951) 943-8081
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:45CENSUS: DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Administrator, Yamberly Genesis GarciaTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff not allowing residents to leave facility.
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 spoke with License Vivien 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 "Staff not allowing residents to leave facility." It was alleged Resident #1 (R1) was not allowed to leave the facility and the resident's were being locked in. It was alleged residents are not allowed to come and go as they please.
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)
Page: 1 of 3
Control Number 18-AS-20250324120159
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 conducted an unannounced visit to the facility on 04/02/2025 and observed the facility entrance and emergency exits were free of obstructions. Based on file review, the facility’s license permits for locked perimeters per the local fire jurisdiction. LPA observed this is being observed with locked exterior gates and locked door leading to residents rooms, bathrooms and dinning area.

LPA interviewed (5) residents. Interview with R1 revealed staff do not allow them to leave the facility. Interview with (4) residents revealed they are allowed to go out into the community with permission from their doctor or with assistance of visitors.

LPA interviewed (4) staff who revealed some residents are allowed to leave on their own, while others must be accompanied by a family member. (4) of (4) staff revealed this is based on the resident's medical assessment by their doctor. (4) of (4) staff revealed R1 is able to leave with family or friends and stated that on the week of 05/05/2025 R1 left the facility with visitors and returned.

R1's physician's report dated 01/29/2025 revealed R1 is unable to leave the facility unassisted. LPA reviewed the Resident Sign out Log which revealed resident sign out when assisted by visitors, and some residents are able to sign themselves out. On 05/01/2025 R1 signed out to go to the store at 11:50am. Therefore, the allegation that R1 and other residents cannot come and go as they please and are being locked into the facility 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)
Page: 2 of 3