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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425270
Report Date: 08/29/2025
Date Signed: 08/29/2025 04:36:26 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
07/01/2025 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20250701082528
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: 145DATE:
08/29/2025
UNANNOUNCEDTIME BEGAN:
03:51 PM
MET WITH:Executive Director, Criselda Espiritu SantoTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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9
Staff did not ensure resident's diapering care needs were met while in care
INVESTIGATION FINDINGS:
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On 08/29/2025 at 3:51PM Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to the facility in order to deliver findings for the above allegations. LPA met with Executive Director, Criselda Espiritu Santo and informed her of the purpose of the visit.

The allegation that staff did not ensure resident’s diapering needs were met in care is UNSUBSTANTIATED.
An interview with Resident (1) revealed that R1 takes care of their own toileting needs and R1 stated that they do not need staff assistance, but staff will assist R1 when it is needed. Staff stated that they assist residents with their toileting needs and keep a log of the days and times they are assisted. Residents state that staff assist them with their needs. LPA did not experience any mal odors in the dining area and in the hallways during several visits. Based upon interview, observation and record review, this allegation is UNSUBSTANTIATED.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
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 5
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
07/01/2025 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20250701082528

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: DATE:
08/29/2025
UNANNOUNCEDTIME BEGAN:
03:51 PM
MET WITH:Executive Director, Criselda Espiritu SantoTIME COMPLETED:
04:40 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff did not prevent resident from hitting other residents in care
Staff did not report resident incidents to appropriate parties
INVESTIGATION FINDINGS:
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On 08/22/2025 Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to deliver findings for the above allegations. LPA discussed the purpose of the visit with Executive Director, Criselda Espiritu Santo.

The allegation that staff did not prevent resident from hitting other residents in care is SUBSTANTIATED.

Based on record review, the facility’s House Rules state “Residents shall keep in mind the dignity and well being of other Residents, for this reason. No resident shall be verbally or physically abusive to another resident or staff member.” LPA did not observe any notes in Resident 1 (R1) and Resident 2 (R2) files regarding behavior towards other residents or staff. R1 stated that they were physically hit by another resident and staff did intervene to assist. Although the facility does report special incidents to Community Care Licensing Division (CCLD), we have not received any incidents reports regarding physical aggression among residents. LPA did not observe Based upon interviews and record review, this allegation is SUBSTANTIATED. A deficiency will be cited.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 56-AS-20250701082528
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: 08/29/2025
NARRATIVE
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The allegation that staff did not report resident incidents to appropriate parties is SUBSTANTIATED.

LPA reviewed the Department’s records and did not observe any reports relating to incidents involving R1. An interview with the Executive Director revealed that staff may not report certain incidents if local law enforcement does not provide a report. Based upon interview and record review this allegation is SUBSTANTIATED. A deficiency will be cited.


SUBSTANTIATED is defined as the complaint allegation(s) is valid and a violation has occurred based on the preponderance of available evidence.

An exit interview was conducted where this report LIC9099, LIC9099D and Appeal Rights were 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: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 56-AS-20250701082528
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/30/2025
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights (a)(1 (a) ...each client shall have personal rights which include...: (1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Licensee/Administrator will conduct a staff training on personal rights, document incidents among residents who do not follow the facility's rule and submit proof to LPA by Plan of Correction (POC) due date.
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Based upon record review, interview and observation, the facility did not ensure that all clients are comfortable and by not ensuring the safety of all the residents which poses an immediate risk to the health and safety of residents in care.
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Type A
08/30/2025
Section Cited
CCR
87211(1)(D)
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Reporting Requirements 87211(1)(D)
(1) A written report shall be submitted to the licensing agency...(D) Any incident which threatens the welfare, safety or health of any resident.... This requirement was not met as evidenced by:
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Administrator will conduct a staff training on Reporting Requirements, wlll review and submit a Statement of Understanding of the Reporting Requirements by the Plan of Correction (POC) due date.
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Based upon interview and record review the facility did not report any incidents to the Department relating to residents expressing physical aggression towards other residents, which poses an immediate risk to the health and safety of residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 56-AS-20250701082528
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: 08/29/2025
NARRATIVE
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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 given to Executive Director, Criselda Espiritu Santo.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5