365530263-9-17-2026-56-AS-NBRN-DYETRF-20260930145728

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 365530263
Report Date: 09/17/2026
Date Signed: 09/17/2026 04:21:34 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
03/16/2026 and conducted by Evaluator Becky Mann

COMPLAINT CONTROL NUMBER: 56-AS-20260316090734

FACILITY NAME:	VALLEY CREST		FACILITY NUMBER:	365530263
ADMINISTRATOR:	JORDAN, KIMBERLY		FACILITY TYPE:	740
ADDRESS:	18524 CORWIN RD		TELEPHONE:	(760) 242-3188
CITY:	APPLE VALLEY	STATE: CA	ZIP CODE:	92307
CAPACITY:	65	CENSUS: 43	DATE:	09/17/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Donna Cabrera, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff did not provide medical attention in a timely manner
Staff yells at the residents in care
Staff did not safeguard resident’s belongings
Staff are not providing adequate food service
Staff are not assisting residents with attending church

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Donna Cabrera, Executive Director and explained the purpose of today's visit. The investigation consisted of LPA observations, pertinent document reviews, and interviews with staff and residents.

The allegation that staff do not provide medical attention in a timely manner. Four (4) staff interviewed stated that they do seek medical attention for the residents in a timely manner. Resident #1 (R1) stated that staff do seek medical attention in a timely manner. Resident #2 (R2) stated that they have not needed to seek medical attention yet at the facility. Resident #3 (R3), Resident #4 (R4) and Resident #5 (R5) were not able to respond due to cognitive impairment.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026

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-20260316090734

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: VALLEY CREST	FACILITY NUMBER: 365530263
	VISIT DATE: 09/17/2026

NARRATIVE

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The allegation that Staff yells at the residents in care. Four (4) staff interviewed denied yelling at the residents. The four (4) staff stated that they have not seen a staff yell at a resident. Resident #1 (R1) and Resident #2 (R2) stated that staff have not yelled at them and have not seen staff yell at another resident. Resident #3 (R3), Resident #4 (R4) and Resident #5 (R5) were not able to respond due to cognitive impairment.

The allegation that Staff did not safeguard resident’s belongings. Four (4) staff interviewed stated that they do safeguard resident's belongings. R1 and R2 stated that staff do safeguard the residents' belongings. R3, R4 and R5 were not able to respond due to cognitive impairment.

The allegation that Staff are not providing adequate food service. Four (4) staff interviewed stated that they do provide adequate food service at the facility. R1 and R2 stated that staff do provide adequate food service at the facility. R3, R4 and R5 were not able to respond due to cognitive impairment.

The allegation that Staff are not assisting residents with attending church. The facility is a Memory Care facility. Based on interviews and record reviews, the pastor comes to the facility to conduct the Sunday service for the residents.

Based on evidence obtained during the investigation, the above allegations are Unsubstantiated; meaning 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 Donna Cabrera, Executive Director at the conclusion of the visit.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026

LIC9099 (FAS) - (06/04)

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