335530353-8-27-2026-56-AS-EMAN-DY9VSH-20260925164134

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 335530353
Report Date: 08/27/2026
Date Signed: 08/27/2026 01:08:55 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
04/06/2026 and conducted by Evaluator Mary Rico

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260406102253

FACILITY NAME:	VISTA CORONA SENIOR LIVING		FACILITY NUMBER:	335530353
ADMINISTRATOR:	GUTIERREZ, ANDREA		FACILITY TYPE:	740
ADDRESS:	737 MAGNOLIA AVE		TELEPHONE:	(951) 737-1600
CITY:	CORONA	STATE: CA	ZIP CODE:	92879
CAPACITY:	180	CENSUS: 119	DATE:	08/27/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Administrator - Andrea Perez		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff did not treat resident with dignity.
Staff retaliated against resident.
Staff did not ensure resident's room was clean.

INVESTIGATION FINDINGS:

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On 8/27/2026, Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Administrator Andrea Perez and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, and record reviews.

For the allegation, Staff did not treat client with dignity. During staff interviews six out of the six staff stated they have not disrespected or mistreated a resident. During resident interviews six out of the six residents stated they have not been disrespected or mistreated by staff.

For the allegation, Staff retaliated against resident. During staff interviews six out of the six staff stated they have not retaliated against a resident. During resident interviews six out of the six residents stated they have not been retaliated by staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20260406102253

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VISTA CORONA SENIOR LIVING	FACILITY NUMBER: 335530353
	VISIT DATE: 08/27/2026

NARRATIVE

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For the allegation, Staff did not ensure resident's room was clean. During staff interviews six out of the six staff stated resident rooms are being cleaned. During resident interview, six out of the six residents stated their rooms are being cleaned by staff. During record review, LPA Rico observed each resident has their designated housekeeping day.

Based on the evidence found during the investigation, the three allegations listed above is deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Andrea Perez.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026

LIC9099 (FAS) - (06/04)

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