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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800003
Report Date: 05/29/2026
Date Signed: 05/29/2026 04:33:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/19/2021 and conducted by Evaluator Yolanda Delgado
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210719082700
FACILITY NAME:AZZUR ASSISTED LIVING LLCFACILITY NUMBER:
331800003
ADMINISTRATOR:RADWAN BYRON GONZALOFACILITY TYPE:
740
ADDRESS:397 E MAIN STREETTELEPHONE:
(951) 665-6240
CITY:SAN JACINTOSTATE: CAZIP CODE:
92583
CAPACITY:0CENSUS: 0DATE:
05/29/2026
UNANNOUNCEDTIME BEGAN:
04:19 PM
MET WITH:Unable to meet/Facility closed 4-17-2023TIME COMPLETED:
04:20 PM
ALLEGATION(S):
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Responsible party unable to communicate with facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Yolanda Delgado mailed this report to the ex-licensee’s last known mailing address via USPS certified mail to communicate the findings related to the above-mentioned allegation. The facility has been closed since April 17, 2023.

On July 19, 2021, Community Care Licensing received a complaint alleging Responsible party unable to communicate with facility.

An interview with a relevant party revealed not getting through to the staff via phone was common, interview with outside agency revealed they were unable to get in touch with staff at the facility and they had to go to the facility in person and it took 30 minutes for someone to come to the gate to let them in.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 18-AS-20210719082700
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: AZZUR ASSISTED LIVING LLC
FACILITY NUMBER: 331800003
VISIT DATE: 05/29/2026
NARRATIVE
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(Continued from Page 1)

An interview with the facility Manager revealed the Manager admitted that there were issues at times with the telephone not working, staff not answering the phone and the Manager gave her personal number out to the family/friends of the residents to call her during her working hours if the telephone was not answered.

Based on the interviews, the allegation is substantiated. The facility will be cited for Title 22, Division 6, Chapter 8, Article 08, Section 87468.1 (a)(9).

An exit interview was not conducted as the facility has been closed since April 17, 2023. A copy of this report, LIC809D, Appeal Rights was sent to the ex-licensee’s last known address via USPS certified mail, due to the facility closure.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20210719082700
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: AZZUR ASSISTED LIVING LLC
FACILITY NUMBER: 331800003
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/29/2026
Section Cited
CCR
87468.1(a)(9)
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Personal Rights of Residents in All Facilities:
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (9) To have communications to the licensee from their representatives answered promptly and appropriately.
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Plan of Corrections is unable to be obtained as Facility has beenclosed since 4/17/2023.
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This requirement was not being met as evidenced by: During interviews conducted with Staff confirmed that residents's family was not able to contact residents by telephone at the facility. This poses an immediate health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3