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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881248
Report Date: 04/20/2026
Date Signed: 08/18/2026 11:07:21 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
01/05/2026 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20260105143713
FACILITY NAME:WESTFIELD VILLA GARDENSFACILITY NUMBER:
331881248
ADMINISTRATOR:ALMA ESPINALFACILITY TYPE:
740
ADDRESS:3863 WEST RAMSEY STTELEPHONE:
(951) 849-7521
CITY:BANNINGSTATE: CAZIP CODE:
92220
CAPACITY:50CENSUS: 33DATE:
04/20/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Caregiver Dexinia CruzTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Resident sustained multiple bruises/facial fracture due to staff neglect or physical abuse
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegation mentioned. LPA met with Caregiver Dexinia Cruz and explained the purpose of the visit. The Department's investigation involved interviews and records review.

Regarding allegation, it is alleged resident sustained multiple bruises/facial fracture due to staff neglect or physical abuse. Resident#1 (R1) experienced a fall on 12/29/2025, and hospital imaging at that time showed no fractures. On 01/02/2026, staff observed swelling and bruising on R1’s left hand and sent them to the hospital, where imaging revealed a left thumb fracture, nasal bone fracture, and shingles—injuries not present during the prior visit. The facility could not determine how the fractures occurred or whether an unwitnessed fall took place. Staff responded promptly by sending the resident out for evaluation, and the administrator reclassified the resident as a fall risk following their second hospitalization.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026
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-20260105143713
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WESTFIELD VILLA GARDENS
FACILITY NUMBER: 331881248
VISIT DATE: 04/20/2026
NARRATIVE
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LPA conducted interviews with five (5) residents all (5) have stated they have not fallen while living at the facility; nor do staff neglect the residents in care.

LPA conducted three (3) staff interviews all whom confirm they have not neglected residents nor have they seen or heard residents sustaining bruises/fractures due to staff neglect.

Based on the information obtained, there is insufficient evidence to support the allegation that the facility failed to provide adequate care and supervision. The allegation of neglect/lack of care or physical abuse is Unsubstantiated. This means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report was discussed, and a copy was provided to Caregiver Dexinia Cruz at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2