<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800207
Report Date: 08/12/2026
Date Signed: 08/12/2026 10:49:45 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
04/28/2026 and conducted by Evaluator Eldin Serrano
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260428144402
FACILITY NAME:GREEN TREE RESIDENCE LLCFACILITY NUMBER:
361800207
ADMINISTRATOR:MARTIN VENTRESS JRFACILITY TYPE:
740
ADDRESS:13741 BURNING TREE DRIVETELEPHONE:
(760) 245-2504
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY:6CENSUS: 1DATE:
08/12/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maria Ventress, CaregiverTIME COMPLETED:
11:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee convinced resident to sign over all his asset and money prior to residents death.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/12/2026, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegation. LPA explained the purpose of the visit to caregiver Maria Ventress. The investigation consisted of interviews with staff and record review as well as observation.

Allegation: Licensee convinced resident to sign over all his assets and money prior to the resident’s death. - LPA initiated an investigation into the above allegation concerning Resident #1 (R1), who passed away at the facility on 4/21/2023 while under hospice care. LPA interviewed facility representatives and reviewed resident records maintained by the facility. LPA requested information related to body disposition, estate documents, personal financial records, probate involvement, and any indication of facility involvement in resident asset transfer. Based on interviews and review of facility records, LPA found no evidence indicating the licensee or facility staff convinced R1 to sign over R1's assets or money prior to R1's death. Facility records show R1 was responsible for R1's own financial affairs, and the facility did not retain or administer any estate or asset documentation. At this time, the allegation is unsubstantiated, as there is insufficient evidence to support that the licensee engaged in financial exploitation of the resident.
*** Continuation in LIC9099C ***


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
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-20260428144402
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: GREEN TREE RESIDENCE LLC
FACILITY NUMBER: 361800207
VISIT DATE: 08/12/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on interviews and record review, the allegation mentioned above is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to caregiver Maria Ventress.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2