Complaint Investigation Report

336413271-1-14-2026-18-AS-APEZ-DQTSHW-20260130125412

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE ASC , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/12/2025 and conducted by Evaluator Abdoulaye Zerbo

COMPLAINT CONTROL NUMBER: 18-AS-20250912082056

Staff refused to tell authorized representative who the resident(s) responsible parties were impeding an investigation

Licensing Program Analyst (LPAs) Abdoulaye Zerbo and Aziz Faizi conducted a subsequent complaint visit to deliver the finding for the above allegation. During today’s visit, LPAs met with caregiver Claudia Martinez and explained the reason for the visit.

It was alleged Staff refused to give an authorized party, the resident’s responsible party information. Thus impeding an investigation.

It was determined the resident in question was Resident #1 (R1). This investigation revealed R1 never resided at this facility. The investigation revealed the correct facility R1 resided at 83-421 MATADOR COURT Indio CA. The investigation will be completed for the correct facility.

Based on record reviews and interviews the allegation is unfounded. A finding of unfounded means the allegation could not have happened, is false, and/or is without a reasonable basis.

LPA conducted an exit interview and a copy of this report was provided to Caregiver Claudia Martinez