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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366413073
Report Date: 01/31/2025
Date Signed: 01/31/2025 02:03:16 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
12/18/2024 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20241218092148
FACILITY NAME:HERITAGE COURT ASSISTED LIVINGFACILITY NUMBER:
366413073
ADMINISTRATOR:SCHLOTTMAN, JACOBFACILITY TYPE:
740
ADDRESS:275 GARNET WAY BTELEPHONE:
(909) 204-5000
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY:88CENSUS: 41DATE:
01/31/2025
UNANNOUNCEDTIME BEGAN:
11:56 AM
MET WITH:Erika MontoyaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not prevent resident from inappropriately touching another resident
Staff did not provide a comfortable environment for resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Administrator Erika Montoya and explained the purpose of the visit. The investigation consisted of interviews, observations, and review of records.

First allegation: Staff did not prevent resident from inappropriately touching another resident. Regarding the allegation stated above LPA conducted interview with Resident #1 who informed LPA that Resident #2 inappropriately touched R#1. R#1 informed LPA that R#2 invited R#1 to hang out in R#2 bedroom. R#1 informed LPA that R#1 voluntarily went into R#2 bedroom and watched TV. R#1 indicated that R#2 leaned forward and touched R#1 gluteal cleft (buttock crack), with foot. R#1 denied any sexual penetration or assault from R#2. R#1 stated that after the incident R#1 left R#2 room. R#1 informed LPA that R#2 did not force R#1 into R#2 bedroom that it was all a mutual consent between R#1 and R#2. LPA conducted an interview with R#2 who denied inappropriately touching R#1.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
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-20241218092148
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: HERITAGE COURT ASSISTED LIVING
FACILITY NUMBER: 366413073
VISIT DATE: 01/31/2025
NARRATIVE
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 LPA conducted interviews with Staff #1-3 who informed LPA that after the incident took place that management offered R#1 and R#2 to be relocated and placed into different room area to avoid contact between both, and R#1 and R#2 denied the relocation alternative. Staff #1 and Staff #2 informed LPA that a close monitorization for R#1 and R#2 was also implemented.

Second allegation: Staff did not provide a comfortable environment for resident. Regarding the allegation “Staff did not provide a comfortable environment for resident” LPA conducted an interview with R#1 who informed LPA that R#1 felt like the facility did not do the extreme to remove R#2 from the facility. R#1 explained to LPA that management provided alternatives such as, placing R#1 in a different room away from R#2, R#1 denied the suggestion. R#1 informed LPA that staff would ensure to ask R#1 if R#1 was okay and provided close visual between R#1 and R#2. R#1 stated that R#2 should have been relocated. LPA conducted an interview with R#2 who informed LPA that R#2 maintains a distance from R#1 as suggested by staff and local law enforcement. LPA conducted interviews with staff who informed LPA that a close visual is being maintained for as safety precaution between R#1 and R#2. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated.

Unsubstantiated: meaning that 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.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Erika Montoya at the end of the visit.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2