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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361881048
Report Date: 01/30/2025
Date Signed: 01/30/2025 12:48:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/24/2025 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250124135935
FACILITY NAME:AQUA RIDGE OF MONTCLAIRFACILITY NUMBER:
361881048
ADMINISTRATOR:MONIQUE DEL JUNCOFACILITY TYPE:
740
ADDRESS:9631 MONTE VISTA AVETELEPHONE:
(909) 483-2782
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY:115CENSUS: 72DATE:
01/30/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Monique Del Junco, Executive DirectorTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Staff do not answer residents calls for assistance timely
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived at the facility to investigate the complaint mentioned above. LPA Prieto met with Executive Director Del Junco and explained the details of the complaint.

Regarding the allegation that staff do not answer residents' calls for assistance in a timely manner, LPA Prieto toured the Memory Care Unit, the ward relevant to this complaint, and reviewed recent pull cord call records. The records show that the average response time to pull cord calls is 7 minutes. The ward is adequately staffed, with a 3 to 1 ratio of caregivers to the 24 residents.

LPA Prieto observed residents grouped together to ensure better monitoring. All residents receive care from medical technicians three times a day and have individualized care plans that address continence care, bathing, and room cleaning.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
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-20250124135935
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: AQUA RIDGE OF MONTCLAIR
FACILITY NUMBER: 361881048
VISIT DATE: 01/30/2025
NARRATIVE
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The residents were unable to explain the function or purpose of a call button. LPA Prieto noted that the residents' rooms, which are shared, have pull cords in the bathrooms rather than individual call buttons, contrary to the complaint's claims. The records show that these pull cords were activated five times, with an average response time of 7 minutes.

Based on the gathered information, there is insufficient evidence to support the allegation that staff do not answer residents' calls for assistance in a timely manner. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Del Junco, and a copy was left with the facility.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2