361880724-1-21-2026-56-AS-KCLS-DRDRGQ-20260217120106

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880724
Report Date: 01/21/2026
Date Signed: 01/21/2026 03:39:14 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
03/24/2025 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20250324120036

FACILITY NAME:	ATIENZA RESIDENTIAL CARE		FACILITY NUMBER:	361880724
ADMINISTRATOR:	ARMSTRONG, CAROLINE		FACILITY TYPE:	740
ADDRESS:	911 HARTZELL AVE		TELEPHONE:	(909) 792-3835
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92374
CAPACITY:	6	CENSUS: 2	DATE:	01/21/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Rosalinda Penila		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff did not ensure that resident's room was free of pests
Resident sustained bed sores due to staff improper care
Staff refused to assist residents with diaper changes
The Administrator is at the facility an insufficient amount of hours

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation on the above allegations. LPA met with Caregiver, Rosalinda Penila, who was informed of today’s visit. The investigation consisted of LPA observations, reviewing pertinent records, and interviews with relevant parties.

Regarding the allegation, Staff did not ensure that resident’s room was free of pest, two (2) residents interviews indicated that they have no pest in their bedrooms. The Administrator and three (3) staff interviews indicate that they do ensure resident’s rooms are free from pest. The licensee maintains a monthly service contract with a pest control company to ensure the facility is free of pest.

Regarding the allegation, resident sustained bedsores due to staff improper care, review of Resident #1 (R1s) medical records and outside party interviews indicate not enough evidence to corroborate the allegation. R1 had been assessed with bedsores/wounds prior to being admitted into the facility and hospice provided wound care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

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 56-AS-20250324120036

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: ATIENZA RESIDENTIAL CARE	FACILITY NUMBER: 361880724
	VISIT DATE: 01/21/2026

NARRATIVE

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Regarding the allegation, staff refused to assist residents with diaper changes, two (2) resident interviews indicate that there is enough evidence to corroborate the allegation that staff refused to assist residents with diaper changes. The Administrator and three (3) staff interviews indicate that they have not refused to assist residents with diaper changes.

Regarding the allegation, the Administrator is at the facility an insufficient amount of hours, two (2) resident interviews indicate that the Administrator is present at the facility for a sufficient number of hours. The Administrator and three (3) staff interviews indicate that the Administrator is present at the facility for a sufficient number of hours and, when not at the facility, is available via telephone.

Based on the Department’s investigation, the allegations are Unsubstantiated. A finding of Unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and a copy with appeal rights was provide to Caregiver Penila at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

LIC9099 (FAS) - (06/04)

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