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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423957
Report Date: 05/16/2025
Date Signed: 05/16/2025 10:52:23 AM

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
05/12/2025 and conducted by Evaluator Raquel Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250512103120
FACILITY NAME:ADORABLE HOME VFACILITY NUMBER:
336423957
ADMINISTRATOR:ROBERT C. CANTORIAFACILITY TYPE:
740
ADDRESS:7925 SADDLETREE COURTTELEPHONE:
(951) 496-3238
CITY:CORONASTATE: CAZIP CODE:
92880
CAPACITY:6CENSUS: 4DATE:
05/16/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Staff Lizeth AlonzoTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Resident is not being accorded dignity in their personal relationships with staff.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Staff Lizeth Alonzo and explained the purpose of the visit. The investigation consisted of staff and resident interviews.

LPA Hernandez conducted (2) resident interviews. 2 out of the 2 residents stated they are treated with respect and feel safe living at the facility. Resident #1 (R1) stated they have not experienced physical, verbal, or emotional abuse by any facility staff. LPA Hernandez conducted (2) staff interviews. 2 out of the 2 staff stated they treat residents with respect and provide a safe environment for residents in care. Staff #1 (S1) stated they have never been physical, verbal, or emotional abusive to any residents in care and have not witnessed any other facility staff do so.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
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 2
Control Number 56-AS-20250512103120
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: ADORABLE HOME V
FACILITY NUMBER: 336423957
VISIT DATE: 05/16/2025
NARRATIVE
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Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

During today’s visit, no deficiencies were cited pertaining to these allegations 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 Staff Lizeth Alonzo.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2