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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423957
Report Date: 09/24/2026
Date Signed: 09/24/2026 01:24:53 PM

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
07/17/2026 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20260717085721
FACILITY NAME:ADORABLE HOME VFACILITY NUMBER:
336423957
ADMINISTRATOR:ROBERT C. CANTORIAFACILITY TYPE:
740
ADDRESS:7925 SADDLETREE COURTTELEPHONE:
(951) 496-3238
CITY:CORONASTATE: CAZIP CODE:
92880
CAPACITY:6CENSUS: 5DATE:
09/24/2026
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Staff Lizeth AlonzoTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff neglected resident, leading to scabies
Facility did not ensure proper food service
Staff did not ensure resident was hydrated, leading to UTIs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with House Manager Lizeth Alonzo and explained the purpose of the visit. The Administrator was also contacted and informed about today’s visit. The investigation consisted of staff interviews, facility tour, and record review.

During the course of the investigation, LPA conducted a review of facility records and relevant documentation. Based on the review of records, LPA noted that Resident #1 (R1) was evaluated by a dermatologist on four separate occasions in relation to a reported skin condition. During the first two dermatology visits, R1 was evaluated for skin condition where scabies was not identified. On 07/23/2026, R1 was evaluated by a dermatologist and diagnosed with scabies. Following the diagnosis, R1 was evaluated by the dermatologist for a follow-up visit on 08/13/2026, at which time documentation indicated R1 no longer had scabies. LPA also conduted interviews with relevant parties reagrding the allegations.
*Continue on 9099-C*
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
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-20260717085721
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: ADORABLE HOME V
FACILITY NUMBER: 336423957
VISIT DATE: 09/24/2026
NARRATIVE
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Based on the information obtained through interviews, LPA was unable to corroborate sufficient evidence to substantiate that staff neglect contributed to or resulted in R1 developing scabies. Additionally, LPA reviewed facility documentation regarding R1's food and fluid intake. Facility staff documented R1's intake during AM and PM shifts, as well as during the NOC shift. During facility visit, LPA observed an adequate supply of food available for all residents in care.

Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations 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 House Manager Lizeth Alonzo.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2