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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530075
Report Date: 07/14/2025
Date Signed: 07/14/2025 03:03:18 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
11/25/2024 and conducted by Evaluator Eldin Serrano
COMPLAINT CONTROL NUMBER: 56-AS-20241125144900
FACILITY NAME:CANYON VIEW COUNTRY HOMEFACILITY NUMBER:
365530075
ADMINISTRATOR:CREIGHTON, IRENFACILITY TYPE:
740
ADDRESS:418 HASTINGS ST.TELEPHONE:
(909) 548-1769
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:6CENSUS: 6DATE:
07/14/2025
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Iren Creighton, AdministratorTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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9
Staff refused to accept resident back to the facility.
Staff retaliating against resident.
INVESTIGATION FINDINGS:
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On 7/14/2025 at 12:10PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with Administrator Iren Creighton to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and resident as well as facility observation.

Allegation #1: Staff refused to accept resident back to the facility. – Based on phone interview with resident #1(R1), R1 stated that R1 was never refused to come back to the facility. In fact, R1 returned to the facility from the hospital. Staff #1 (S1) also denied the allegation. Based on information received, LPA was unable to corroborate the allegation.

Allegation #2: Staff retaliating against resident. - Based on phone interview with R1, R1 denied that the facility was retaliating against R1 because of the facility's refusal to take R1 to the hospital right away. R1 stated it is "simply not true". S1 also denied the allegation. Based on information received during the investigation, 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: 07/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025
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-20241125144900
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: CANYON VIEW COUNTRY HOME
FACILITY NUMBER: 365530075
VISIT DATE: 07/14/2025
NARRATIVE
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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 was discussed and provided to Administrator Iren Creighton.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2