Complaint Investigation Report

331881569-9-2-2025-18-AS-APEZ-DLSKHZ-20250923075558

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

08/25/2025 and conducted by Evaluator Abdoulaye Zerbo

COMPLAINT CONTROL NUMBER: 18-AS-20250825143222

Staff are not allowing resident to make phone calls as necessary.

Licensing Program Analyst (LPA), Abdoulaye Zerbo conducted an unannounced visit to the facility to investigate the allegations listed above. LPA met with Caregiver Sable Smith, who was informed of the purpose of the visit. Administrator Bashar Mayyas joined the visit at a later time.

LPA toured the facility 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 Administrator 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 Administrator Bashar Mayyas.