Complaint Investigation Report

374604042-10-20-2025-18-AS-CTUA-DMXNYA-20251030105223

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

10/17/2025 and conducted by Evaluator Javina George

COMPLAINT CONTROL NUMBER: 18-AS-20251017151950

Brigitta Lofevendahl., Executive Director

Staff violated a resident's personal rights.

On 10/20/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence an investigation in regards to the allegation noted above. On 10/17/25 Community Care Licensing received a complaint alleging staff violated the personal rights of Resident#1 (R1).

During today’s visit LPA conducted a walk through of the facility in an attempt to locate R1 to conduct an interview. LPA observed for (R1) to not be in any of the designted resident bedrooms. After further investigation LPA conducted a records review of the facility census, which revealed that R1 was residing at the Sister facility therefore the complaint allegation of staff violated a resident's personal rights is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted where a copy of this report was reviewed and provided to Executive Director Brigitta Lofevendahl.