361881048-10-2-2025-56-AS-KCLS-DMETSS-20251013145938

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881048
Report Date: 10/02/2025
Date Signed: 10/02/2025 03:03:37 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
09/04/2025 and conducted by Evaluator Eldin Serrano

COMPLAINT CONTROL NUMBER: 56-AS-20250904133849

FACILITY NAME:	AQUA RIDGE OF MONTCLAIR		FACILITY NUMBER:	361881048
ADMINISTRATOR:	MONIQUE DEL JUNCO		FACILITY TYPE:	740
ADDRESS:	9631 MONTE VISTA AVE		TELEPHONE:	(909) 483-2782
CITY:	MONTCLAIR	STATE: CA	ZIP CODE:	91763
CAPACITY:	150	CENSUS: 71	DATE:	10/02/2025
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Jonnathan Rios, Resident Care Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff do not properly safeguard the facility grounds
Staff do not ensure the residents are being changed
Staff are mishandling the residents medications
Staff do not meet the minimum qualifications required
Staff are not properly trained
Staff are not following proper food handling techniques
Staff do not provide adequate care and supervision
Staff do not meet the residents bathing needs
Staff do not keep the facility free from infestation

INVESTIGATION FINDINGS:

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On 10/02/2025 at 2:45 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA Serrano met with Resident Care Director Jonnathan Rios to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation.

Allegation #1: Staff do not properly safeguard the facility grounds – Based on LPA's observation and upon touring of the facility, LPA did not find any evidence of broken windows for the alleged multiple break-ins at the facility. The facility is in good repair and has found no issues.

Allegation #2: Staff do not ensure the residents are being changed - Based on interviews with staff and residents, it was revealed that the residents’ diapers were being changed as needed. It was also revealed that if the residents are independent and if they need assistance with changing their diapers the staff is there to assist. LPA was unable to corroborate the allegation.

*** Continuation in LIC9099C ***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

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-20250904133849

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: AQUA RIDGE OF MONTCLAIR	FACILITY NUMBER: 361881048
	VISIT DATE: 10/02/2025

NARRATIVE

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Allegation #3 Staff are mishandling the residents’ medications - Based on record review and medications audit, LPA found no issues.

Allegation #4 Staff do not meet the minimum qualifications required – Based on interview and information received. It indicated that all the staff have undergone 40 hours of computer training. If the staff is interested in being a Medtech then the staff must do another 20 hours of training specifically for Medtech and get a certificate plus 3-5 days of hands-on training and 2 additional days of paperwork training. LPA was unable to corroborate the allegation.

Allegation #5 Staff are not properly trained – Based on record review the facility provided all the Medtech certificate that they all have completed the required training to administer medication.

Allegation #6 Staff are not following proper food handling techniques – Based on interview and LPA observation, LPA was unable to corroborate the allegation. Interview with the facility cook revealed that the facility never recycled uneaten food or leftovers to be eaten the next day. LPA observed the facility recycling bin designated for food waste outside of the facility specifically for trash/garbage. LPA took pictures of the recycling bin.

Allegation #7 Staff do not provide adequate care and supervision – Based on interviews and record review, it was revealed that the facility has sufficient staff to supervise and care for the resident in care. Based on interviews with residents, they all stated that they are provided with adequate care and supervision by the staff.

Allegation #8 Staff do not meet the residents bathing needs – Based on interview and record review, LPA was unable to corroborate the allegation. Interviews with staff stated that they follow the facility shower schedule. Interviews with the residents all indicated that they get their showers as scheduled or if they are independent and need help from the staff they are given assistance with showers. Facility also provided shower schedules.

******continue on LIC9099C*******

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 56-AS-20250904133849

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: AQUA RIDGE OF MONTCLAIR	FACILITY NUMBER: 361881048
	VISIT DATE: 10/02/2025

NARRATIVE

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Allegation #9 Staff do not keep the facility free from infestation – Based on record review, the facility provided a copy of their contract with Integrated Pest Control Management that monitors and treats any pests issue at the facility.

Information received during investigation did not corroborate with the allegation.

During the investigation, LPA did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Resident Care Director Jonnathan Rios.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

LIC9099 (FAS) - (06/04)

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