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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850439
Report Date: 04/13/2026
Date Signed: 04/13/2026 01:15:59 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2026 and conducted by Evaluator Kelly Dulek
COMPLAINT CONTROL NUMBER: 29-AS-20260406104907
FACILITY NAME:RINCON ASSISTED LIVINGFACILITY NUMBER:
565850439
ADMINISTRATOR:SPRING, REBECCAFACILITY TYPE:
740
ADDRESS:67 EAST BARNETT ST.TELEPHONE:
(805) 643-2176
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY:54CENSUS: 49DATE:
04/13/2026
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Lesley Jamon, Facility DesigneeTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff does not ensure residents' hygiene needs are being met.
Staff does not ensure residents are provided clean clothing.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced initial complaint visit related to the above allegations. Upon arrival, the LPA met with Facility Designee and explained the reason for the visit. Entrance interview conducted.

During today's visit, LPA interviewed two (2) staff and six (6) residents between 10:47AM and 11:52AM. LPA toured the facility along with Facility Designee at 11:54AM. LPA reviewed and obtained copies of relevant documents and made observations during the facility tour. The following was then determined:

Complaint indicates that the Reporting Party (RP) was concerned about the hygiene and availability of clean clothes for multiple residents in the facility, including Resident #1 (R1). LPA interviewed various residents, including R1, all of whom indicated multiple showers and personal care products are available in the facility. Record review confirmed R1 is able to shower, dress and groom independently. R1 stated they are
Report Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
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 29-AS-20260406104907
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: RINCON ASSISTED LIVING
FACILITY NUMBER: 565850439
VISIT DATE: 04/13/2026
NARRATIVE
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incontinent, but are able to care for their own toileting needs. Staff interviewed stated that R1 prefers to sleep in and staff do attempt to remind R1 to shower and change their incontinence brief when they wake up in the morning. However, since R1 wakes up later than most residents, sometimes R1 leaves the facility before staff realize R1 is awake and staff are able to remind R1 to care for their own personal needs. R1 stated their laundry is washed every day, including their clothes and bedding. Interview revealed R1 used to have a shower aide who came to the facility to remind and assist R1 with showering, but this service has since ended. R1 stated they often refused shower even with the aide, since the shower was offered at a non-preferred time. Staff interviewed confirmed R1 frequently refuses showers, which has been communicated to R1's case manager. R1 reported they prefer to shower and dress themselves for privacy reasons. Interviews revealed R1 changes clothes multiple times a day and has clean clothes available in their room at all times. During today's visit, R1 appeared relatively clean and clothes were observed to be clean. R1's room appeared tidy and with no odors observed. Other residents interviewed indicated they have showers available at all times, as there are multiple functional shower rooms throughout the facility. Many residents interviewed did indicate they shower infrequently, however, all stated it is their choice when they take a shower. LPA observed staff washing laundry during the facility tour. LPA obtained a copy of the laundry schedule, which indicates there are five (5) resident rooms which have daily laundry service and the remaining rooms are washed once a week. The information obtained during the investigation did not include sufficient evidence to corroborate the allegations. Although the allegations may have happened or are valid, there is not sufficient evidence to prove the alleged violations did or did not occur, therefore the allegations"staff does not ensure residents' hygiene needs are being met" and "staff does not ensure residents are provided clean clothing" are deemed UNSUBSTANTIATED at this time.

No citations issued. Exit interview conducted. A copy of today's report was provided via email.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
LIC9099 (FAS) - (06/04)
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