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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880838
Report Date: 06/04/2026
Date Signed: 06/04/2026 03:55:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/27/2026 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260527083914
FACILITY NAME:EMK RESIDENTIAL CARE FOR ELDERLYFACILITY NUMBER:
331880838
ADMINISTRATOR:PANALIGAN, MARILOUFACILITY TYPE:
740
ADDRESS:7750 BOLERO DRIVETELEPHONE:
(951) 934-3145
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:6CENSUS: 4DATE:
06/04/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Monico Panaligan - AdministratorTIME COMPLETED:
04:05 PM
ALLEGATION(S):
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9
Staff yelled at resident

Staff spoke inappropriately to resident

Licensee illegally evicted resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with licensee Monico and explained the elements of the complaint.

Allegation #1 - LPA Prieto interviewed staff #1 (S1) who states that she has not yelled at resident #1 (R1), not spoken to R1 inappropriately. LPA Prieto interviewed S2 who states that she has not yelled at R1, nor spoken to R1 inappropriately. LPA Prieto interviewed S3 who states that he has not yelled at R1, nor spoken to R1 inappropriately. S1, S2 and S3 have stated that R1 is the one who has spoken loudly and has had inappropriate behavior at the facility. Facility administrator (S3) stated that R1 voluntarily exited the facility and collected monies for the month of his exit in full. A video captured this exchange on the day of exit. A written statement was made and signed by R1 indicating that the exit of the facility is voluntary and no coercion to R1. The letter was signed 05/27/2026.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
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 2
Control Number 56-AS-20260527083914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: EMK RESIDENTIAL CARE FOR ELDERLY
FACILITY NUMBER: 331880838
VISIT DATE: 06/04/2026
NARRATIVE
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Based on the information obtained there is not enough evidence that staff yelled at resident, staff spoke inappropriately to resident and Licensee illegally evicted resident. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Licensee Panaligan and a copy was left with the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2