Complaint Investigation Report

336400075-12-15-2025-18-AS-APEZ-DPTUWA-20251229145625

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

12/11/2025 and conducted by Evaluator Abdoulaye Zerbo

COMPLAINT CONTROL NUMBER: 18-AS-20251211161347

Staff did not provide adequate supervision resulting in resident wandering away from facility.

Staff abandoned resident at the hospital.

Licensing Program Analyst (LPA), Abdoulaye Zerbo conducted an unannounced visit to the facility to investigate the allegations listed above. LPA met with Executive Director Monique Moreira, who was informed of the purpose of the visit.

LPA conducted interviews and obtained copies of pertinent records. During the visit, LPA learned Resident #1 (R1) never resided at this facility through records review and interviews. The Executive Director also confirmed that R1 never resided at this facility.

Based on record reviews and interviews, the allegations listed above are 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 Executive Director Monique Moreira.