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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425270
Report Date: 08/26/2026
Date Signed: 08/26/2026 03:13:39 PM

Substantiated


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
05/26/2026 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260526154743
FACILITY NAME:ABRIA DEL CIELOFACILITY NUMBER:
366425270
ADMINISTRATOR:CRISELDA ESPIRITU SANTOFACILITY TYPE:
740
ADDRESS:1589 N. WATERMAN AVETELEPHONE:
(909) 884-4757
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY:240CENSUS: 134DATE:
08/26/2026
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Criselda Espiritu SantoTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Staff did not ensure that the resident took medications as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Criselda Espiritu Santo and explained the purpose of the visit regarding the allegations stated above.

First Allegation: Staff did not ensure that the resident took medications as prescribed. Regarding the allegation, LPA conducted a record review pertaining to R1. During the review of R1’s medication records, LPA observed that R1 was prescribed two patches to be applied to R1’s skin every morning and to remain in place for 24 hours. LPA interviewed Staff #1 regarding the allegation. Staff #1 stated that R1 sometimes asks medication support staff if the patches can be applied at a later time. Staff #1 also stated that R1 removes the patches without staff knowledge. However, Staff #1 was unable to provide LPA with documentation, notes, or incident reports indicating that R1 had removed the patches prior to the next scheduled administration.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
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 3
Control Number 56-AS-20260526154743
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: ABRIA DEL CIELO
FACILITY NUMBER: 366425270
VISIT DATE: 08/26/2026
NARRATIVE
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Based on the review of R1’s medication records, LPA observed that the physician’s medication orders require the patches to be applied to R1 every morning and remain in place for 24 hours. Therefore, the available documentation substantiates that R1 had an order requiring the patches to be applied every morning for 24 hours. However, the interview information regarding R1 removing the patches was not supported by corresponding documentation or incident reports. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 Regulations, from division 6, chapter, article 6, is, cited on the attached LIC 9099 D.

An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Administrator Criselda Espiritu Santo at the conclusion of the visit.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 56-AS-20260526154743
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: ABRIA DEL CIELO
FACILITY NUMBER: 366425270
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/27/2026
Section Cited
CCR
87465(a)(2)
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Incidental Medical and Dental Care 87465…. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following…. (2) Once ordered by the physician the medication is given according to the physician's directions.

This requirement is not met as evidence by:
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The Licensee has agreed to read over regulation: 87465(a)(2) and provide training to all Med staff to ensure that all medication is to be administered according to residents’ medication orders. In addition, staff will report all incidents pertaining to medication. The Licensee will provide LPA proof of training by POC date listed.
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Based on interviews, record review the Licensee did not adhere to the regulation stated above by no following medication orders as indicated by R1 physician, which poses an immediate health, safety, or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3