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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603456
Report Date: 09/15/2026
Date Signed: 09/15/2026 03:27:29 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
05/24/2022 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20220524100736
FACILITY NAME:ATRIA NORTH ESCONDIDOFACILITY NUMBER:
374603456
ADMINISTRATOR:HERNANDEZ, MARIANOFACILITY TYPE:
740
ADDRESS:1342 N ESCONDIDO BLVDTELEPHONE:
(760) 480-8155
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY:0CENSUS: 0DATE:
09/15/2026
UNANNOUNCEDTIME BEGAN:
02:14 PM
MET WITH:UnavailableTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff member stole money from residents
INVESTIGATION FINDINGS:
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On 9/15/2026, Licensing Program Analyst (LPA) Valerie Flores attempted to reach the previous Licensee via telephone for the purpose of delivering the investigative findings into the allegation listed above. The investigation is summarized as follows:

On 5/24/2022, Community Care Licensing received information allegating Staff #1 (S1) stole money from Resident #1 (R1). An interview with Administrator corroborated the allegation explaining that when she learned of the incident, S1 was place on leave pending an internal investigation. Administrator reports that they questioned S1 about the incident and S1 confessed to entering into R1's room without permission and stealing money from R1's purse. Administrator contacted law enforcement and S1 was terminated on 5/24/2026. A police report created on 5/20/2022 detailed that local law enforcement responded to the facility and review video surviellance of a camera installed in R1's bedroom.

(Continue to LIC9099C...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2026
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 18-AS-20220524100736
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ATRIA NORTH ESCONDIDO
FACILITY NUMBER: 374603456
VISIT DATE: 09/15/2026
NARRATIVE
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(Continuation from LIC9099)

Law enforcement described observing S1 take money from R1's purse. Law enforcement described a second video footage obtained which appeared S1 rummaging through R1's property inside of R1's unit. There did not appear to be anything stolen on that occasion. The police report detailed that S1 admitted to stealing from residents of the assisted living facility on three separate occasions. S1 explained that over the three separate occasions, S1 stole approximately $200. S1 reportedly could only remember the name of one specific resident whom S1 stole from, but could not remember any specific details about the others. As a result of law enforcement's investigation, S1 was arrested.

Therefore, the allegation of staff member stole money from residents is deemed substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid as the preponderance of the evidence standard has been met. A citation will be issued in accordance with Title 22, Division 6, Regulations.

Due to the facility no longer operating, a copy of this report was provided, along with a copy of LIC9099C, LIC9099D, and Appeal Rights were mailed to the Licensee's mailing address.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20220524100736
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: ATRIA NORTH ESCONDIDO
FACILITY NUMBER: 374603456
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2026
Section Cited
CCR
87218(a)(2)
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a) The licensee shall ensure an adequate theft and loss program as specified in Health and Safety Code Section 1569.153. (2) A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value.
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Due to the facility closure, there is not a plan of correction.
CCR
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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: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3