Complaint Investigation Report

331881300-5-18-2026-56-AS-EMAN-DW8NR2-20260722104049

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BERNARDINO 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

05/12/2026 and conducted by Evaluator Raquel Hernandez

COMPLAINT CONTROL NUMBER: 56-AS-20260512113542

Staff allowed uncleared adults to reside on the premises.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrator Maria Cantoria and explained the purpose of the visit. The investigation consisted of facility tour and staff interview.

On 05/12/2026, the licensing department received a complaint in regards to staff allowing uncleared adults to reside on the premises. Administrator provided a staff schedule of all facility staff currently working at the facility. Administrator stated (3) facility staff currently live at the facility. LPA observed all facility staff are background cleared and able to work at the facility.

Based upon LPA observations and interview conducted, the allegation is deemed UNFOUNDED. A finding that the complaint allegation is UNFOUNDED means that the allegation was without a reasonable basis. Therefore, the allegation is dismissed. An exit interview was conducted and this report (LIC9099) were discussed and provided to Administrator Maria Cantoria.