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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426434
Report Date: 12/15/2025
Date Signed: 12/15/2025 01:26:15 PM

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
02/27/2025 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20250227134533
FACILITY NAME:BROOKDALE CORONAFACILITY NUMBER:
336426434
ADMINISTRATOR:BRITTNEY MARTINEZFACILITY TYPE:
740
ADDRESS:2005 KELLOGG AVETELEPHONE:
(951) 898-6991
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:60CENSUS: 46DATE:
12/15/2025
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Executive Director Brittany MartinezTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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9
Licensee is not preventing resident from harming other residents in care.
Licensee is retaining a resident with a higher level of care need.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
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9
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13
Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Executive Director Brittany Martinez and explained the purpose of the visit. The investigation consisted of resident and staff interviews.

For the allegation, Licensee is not preventing resident from harming other residents in care.

LPA conducted (5) resident interviews and (6) staff interviews. 2 out of the 5 residents indicated facility staff provide a safe environment for residnets in care and have no health or safety concerns living at the facility. Additionally, 6 out of 6 staff stated residents are redirected in the event physical harm is presented.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
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-20250227134533
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: BROOKDALE CORONA
FACILITY NUMBER: 336426434
VISIT DATE: 12/15/2025
NARRATIVE
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For the allegation, Licensee is retaining a resident with a higher level of care need.

LPA observed facility file for Resident #1 (R1) which indicated no higher level of care was needed. Additionally, 6 out of the 6 staff stated no higher level of care for R1 was needed.

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.

An exit interview was conducted and this report (LIC9099) along with other reports were discussed and provided to Executive Director Brittany Martinez.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2