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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425270
Report Date: 07/02/2025
Date Signed: 07/02/2025 04:34:17 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
08/13/2024 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20240813084641
FACILITY NAME:ABRIA DEL CIELOFACILITY NUMBER:
366425270
ADMINISTRATOR:CRISELDA ESPIRITU SANTOFACILITY TYPE:
740
ADDRESS:1589 N. WATERMAN AVETELEPHONE:
(909) 884-4757
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY:240CENSUS: 144DATE:
07/02/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Executive Director, Criselda Espiritu SantoTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Staff did not treat resident with dignity or respect
Resident was financially abused by staff
Staff did not provide resident medication as prescribed
Staff did not keep the facility free from pest (flies & roaches)
INVESTIGATION FINDINGS:
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On 07/02/2025 at 2:30PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with Executive Director, Criselda Espiritu Santo. The investigation consisted of interviews and record review.

In regards to the allegation of Staff did not treat resident with dignity or respect:
Resident #1 (R1) has been moved as of 07/29/2024. Staff denied that residents are not treated with dignity and respect. The facility's Internal Incident Reports indicate that R1 expressed challenging behaviors toward staff. Staff stated that residents are treated with respect and patience. Staff denied making any comments regarding R1's private parts. LPA reviewed R1's file and did not observe an eviction letter or notification. Facility notes indicate that R1 and their spouse voluntarily moved from the facility. Therefore, this allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
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-20240813084641
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: ABRIA DEL CIELO
FACILITY NUMBER: 366425270
VISIT DATE: 07/02/2025
NARRATIVE
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In regards to the allegation of Resident was financially abused by staff:
Staff denied the allegation and stated that R1 was self-responsible and managed their own cash resources. The rent statement from the facility dated 06/19/2024 indicated that R1 had an outstanding balance due on their account for the months of April, May and June of 2024. Staff denied forcing residents to give them their debit cards. Staff stated that they may assist with providing transportation to the bank. Therefore, this allegation is UNSUBSTANTIATED.

In regards to the allegation of Staff did not provide resident medication as prescribed:
LPA reviewed the Medication Administration Record(s) (MAR) for R1 for the months of April, May and June of 2024 and did not observe any discrepancies. Interviews with staff confirm that resident medication was given as prescribed by the physician. Therefore, this allegation is UNSUBSTANTIATED.

In regards to the allegation of Staff did not keep the facility free from pest (flies & roaches):
Based upon interview and record review, staff denied that that facility was not kept free from pests. The record review confirmed that the facility was being serviced on a monthly basis by an extermination company. Therefore, this allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and a copy was provided to Executive Director, Criselda Espiritu Santo.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
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