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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423880
Report Date: 03/25/2026
Date Signed: 03/25/2026 03:19:51 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
05/27/2025 and conducted by Evaluator Mary Rico
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250527170216
FACILITY NAME:CORONA RCFEFACILITY NUMBER:
336423880
ADMINISTRATOR:JENNIFER D. MONTGOMERYFACILITY TYPE:
740
ADDRESS:2600 SOUTH MAIN STREETTELEPHONE:
(951) 736-4900
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:49CENSUS: 32DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator- Jennifer MontgomeryTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee is not allowing residents in care to choose their own physician.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrator Jennifer D. Montgomery and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews and record review.

For the allegation, Licensee is not allowing residents in care to choose their own physician.

During staff interviews 3 out of the 3 staff stated they allow residents to choose their own physician. During resident interviews 3 out of the 3 residents stated they are allowed to choose their own physician. Based on record review, LPA observed residents had the option to choose their own primary physician or select a physician that is associated with Corona RCFE.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
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 5
Control Number 56-AS-20250527170216
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CORONA RCFE
FACILITY NUMBER: 336423880
VISIT DATE: 03/25/2026
NARRATIVE
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Based on the evidence found during the investigation, the one (1) allegation listed above is deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Jennifer Montgomery. The Administrator agreed to signed the UNSUBSTANTIATED LIC9099.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
05/27/2025 and conducted by Evaluator Mary Rico
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250527170216

FACILITY NAME:CORONA RCFEFACILITY NUMBER:
336423880
ADMINISTRATOR:JENNIFER D. MONTGOMERYFACILITY TYPE:
740
ADDRESS:2600 SOUTH MAIN STREETTELEPHONE:
(951) 736-4900
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:49CENSUS: 32DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator- Jennifer MontgomeryTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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9
Licensee is not allowing resident to have visitors.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrator Jennifer D. Montgomery and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews and record review.

For the allegation, Licensee is not allowing residents to have visitors. During staff interviews 3 out of the 3 staff stated that if a resident’s physician does not have a contract with Corona RCFE, they are not allowed to enter the facility. In addition, 3 out of the 3 staff confirmed they had denied R1’s Physician because they not affiliated with the facility. During residents’ interviews 3 out of the 3 residents confirmed their physician had been denied access inside the facility. Furthermore, outside parties associated to the residents also confirmed they had been denied access inside the facility because they do not have a contract with the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 56-AS-20250527170216
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CORONA RCFE
FACILITY NUMBER: 336423880
VISIT DATE: 03/25/2026
NARRATIVE
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Based on the evidence gathered during today’s investigation, the one (1) allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because of the preponderance of evidence the standard has been met. During today’s visit, one (1) deficiency were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and LIC9099D was discussed and provided to Administrator Jennifer D. Montgomery, along with a copy of the appeal rights. Administrator Jennifer D. Montgomery refused to sign the SUBSTANTIATED LIC9099.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 56-AS-20250527170216
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CORONA RCFE
FACILITY NUMBER: 336423880
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2026
Section Cited
CCR
87468.1(a)(11)
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87468.1 Personal Rights of Residents in All Facilities (a)(11)To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately ....and without prior notice, provided that the rights of other residents are not infringed upon.
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The Administrator stated they will read the regulation cited 87468.1(a)(11) and will send a self-verification letter they have read and understood the regulation.
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This requirement wasn't met as evidenced by: Based on interviews, which staff denied R1's Physician to enter the facility which poses an immediate health, safety or personal rights risk to persons in care
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POC due date 4/3/2026
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5