Complaint Investigation Report

331881569-4-20-2026-18-AS-APEZ-DTLUDY-20260429153019

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

03/05/2026 and conducted by Evaluator Abdoulaye Zerbo

COMPLAINT CONTROL NUMBER: 18-AS-20260305080602

Facility staff grabbed client resulting in injury

Licensing Program Analyst (LPA), Abdoulaye Zerbo conducted an unannounced visit to the facility to deliver findings for the allegation listed above. LPA met with Administrator Bashar Mayyas, who was informed of the purpose of the visit.

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 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 Administrator Bashar Mayyas.