361880964-7-27-2026-56-AS-KCLS-DYFPCP-20261001111216

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880964
Report Date: 07/27/2026
Date Signed: 07/27/2026 04:17:31 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
07/23/2026 and conducted by Evaluator Javier Prieto

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260723080335

FACILITY NAME:	CADENCE AT RANCHO CUCAMONGA		FACILITY NUMBER:	361880964
ADMINISTRATOR:	CYNTHIA FIGUEROA		FACILITY TYPE:	740
ADDRESS:	10459 CHURCH STREET		TELEPHONE:	(909) 918-5546
CITY:	RANCHO CUCAMONGA	STATE: CA	ZIP CODE:	91730
CAPACITY:	117	CENSUS: 114	DATE:	07/27/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Executive Director Ashley Willett		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff do not ensure residents' rooms are free of hazards
Staff do not provide adequate supervision, resulting in resident eloping
Staff falsify medication records
Staff do not safeguard residents' medications
Staff store feces in freezer designated for residents' supplemental nutrition
Staff leave medication unsecured and accessible to residents
Unqualified staff is giving injections to resident
Staff retaliates against whisteblower

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Executive Director Willett and explained the elements of the complaint.

Allegation #1 - LPA Prieto toured facility with Executive Director Ashley Willett (S1) and interviewed resident #1 (R1), in question. R1's room was clean and free from obstructions. R1 made admission that she has refused cleaning from staff when they arrive for services. This causing an unsafe environment in her room, but by her own accord.

Allegation #2 LPA interviewed R2 at the facility and states that he is aware of his surroundings. Facility staff conducts safety checks every 2 hours, is monitored when approaching facility exits and wears a tracking device. R2 resides in the Assisted Living section of the facility and can leave the facility with the assistance of facility transport.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2026

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-20260723080335

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: CADENCE AT RANCHO CUCAMONGA	FACILITY NUMBER: 361880964
	VISIT DATE: 07/27/2026

NARRATIVE

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Allegation #3 - LPA interviewed Medication staff #2 (S2) relating to records being falsified by staff. LPA, along with Memory Care Director (S3), review R3 medical records and found them to be complete and accurate.

Allegation #4 - LPA interviewed Medication staff #2 (S2), along with Memory Care Director (S3), relating to resident's medications not being safeguarded. LPA made observations that medications are locked with Medication staff holding the only key for access.

Allegation #5 - LPA addressed the allegation that feces are stored in the freezer designed for resident's supplemental nutrition. LPA toured facility kitchen and did not find any evidence related to this allegation. LPA tour Assisted Living Med Tech room and did not find any evidence related to this allegation. LPA toured Memory Ward Med Tech room and did not find any evidence related to this allegation. Memory Care Director stated that they did have one resident who had doctor's orders to gather fecal samples related to a medical condition. These samples were collected with appropriate medical containers, sealed and placed in a seal bio medical bag and stored in an designated freezer storage for this type of collection. S1 states that nutritional supplement drinks are not stored in a freezer.

Allegation #6 - LPA interviewed Medication staff (S2), along with Memory Care Director (S3), relating to resident's medications not being secured and accessible to residents. LPA made observations that medications are locked with Medication staff holding the only key for access.

Allegation #7 - LPA interviewed Medication staff (S2), along with Memory Care Director (S3), relating to unqualified staff giving injections to residents. Records reveal the resident in question does receive injections weekly by a Home Health professional and not by facility staff. LPA observed this medication and orders and found them to be correct.

Allegation #8 - LPA interviewed Executive Director who states an internal investigation was conducted by corporate management and no supporting evidence was found of retaliation.

Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Willett and a copy was left with the facility.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2026

LIC9099 (FAS) - (06/04)

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