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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881418
Report Date: 02/10/2026
Date Signed: 02/10/2026 01:12:59 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
02/04/2026 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20260204160956
FACILITY NAME:VILLA BERNARDOFACILITY NUMBER:
371881418
ADMINISTRATOR:LYNN DRUMMONDFACILITY TYPE:
740
ADDRESS:2960 BERNARDO AVETELEPHONE:
(858) 925-8858
CITY:ESCONDIDOSTATE: CAZIP CODE:
92029
CAPACITY:10CENSUS: 10DATE:
02/10/2026
UNANNOUNCEDTIME BEGAN:
12:22 PM
MET WITH:Staff, Rommel AbedozaTIME COMPLETED:
01:20 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff would not release residents paperwork to authorized representative.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Staff, Rommel Abedoza who was informed of the purpose of the visit. LPA spoke with Administrator and Licensee, Zayden Chen over the phone during the time of the visit. During the visit, LPA conducted interviews, conducted a walk through, and conducted records review.

"Staff would not release residents paperwork to authorized representative."

It was alleged that records such as Resident #1 (R1)'s LIC602 and medications list were requested by an authorized representative for R1 and were not provided. LPA conducted an interview with the administrator who revealed R1 is conserved. The administrator revealed an outside agency was requesting LIC602 and medications list for R1 who was not their authorized representative. Records review for R1 confirmed who R1's conservator is and confirmed that the conservator on file was not the person requesting R1's records. Additional internet search was conducted for the individual requesting records and it was found that they are working under a referral agency for senior care. Therefore, based on interview and record review the allegation that R1's authorized representative was not granted records is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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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