Inspection Reports for
Rancho Ontario 55+ Community

1456 E Philadelphia St, Ontario, CA 91761, CA, 91761

Back to Facility Profile

Citations (last 5 years)

Citations (over 5 years) 1.2 citations/year

Citations are regulatory findings recorded during state inspections.

70% better than California average
California average: 4 citations/year

Citations per year

8 6 4 2 0
2021
2022
2023
2024
2025

Occupancy

Latest occupancy rate 43% occupied

Based on a July 2025 inspection.

Occupancy rate over time

20% 40% 60% 80% 100% Apr 2021 Jun 2021 Feb 2022 Jul 2023 May 2024 Apr 2025 Jul 2025

Inspection Report

Annual Inspection
Census: 121 Capacity: 280 Citations: 0 Date: Jul 22, 2025

Visit Reason
The inspection was a required annual unannounced visit conducted to evaluate compliance with licensing requirements for the facility.

Findings
The facility was inspected using Compliance and Regulatory Enforcement tools, with no deficiencies issued. The facility met standards for safety, infection control, staffing, medication management, and emergency preparedness.

Report Facts
Hospice waiver approved residents: 8 Rooms inspected: 12 Resident files reviewed: 10 Personnel files reviewed: 6 Liability insurance coverage per occurrence: 1000000 Liability insurance total annual aggregate: 3000000

Employees mentioned
NameTitleContext
Suzie MagpayoAdministratorMet with Licensing Program Analyst during inspection and named in report
Cynthia D ChanLicensing Program AnalystConducted the inspection and authored the report
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager in the report

Inspection Report

Complaint Investigation
Census: 115 Capacity: 280 Citations: 0 Date: Apr 10, 2025

Visit Reason
The visit was an unannounced Case Management follow-up to a Self-reported special incident report (SIR) submitted on 2025-04-07 regarding alleged sexual abuse between a resident and staff on 2025-04-06.

Complaint Details
The complaint involved an alleged sexual abuse incident reported on 2025-04-06 between resident R1 and staff member S1. Police were called and an incident report was taken. The resident did not recall the event when questioned by police. The complaint was investigated during the visit with no deficiencies found.
Findings
During the visit, interviews were conducted with the Executive Director, involved staff, and the resident. The Licensing Program Analyst toured the resident's bedroom and reviewed relevant documents. No concerns or deficiencies were observed during the visit.

Report Facts
Capacity: 280 Census: 115

Employees mentioned
NameTitleContext
Christian GutierrezLicensing Program AnalystConducted the unannounced Case Management visit and investigation
Suzie MagpayoExecutive DirectorMet with Licensing Program Analyst during the visit and involved in the investigation

Inspection Report

Follow-Up
Census: 115 Capacity: 280 Citations: 0 Date: Apr 10, 2025

Visit Reason
Unannounced Case Management Visit to follow up on a Self-reported special incident report (SIR) regarding alleged sexual abuse between a resident and staff on 2025-04-06.

Findings
No deficiencies were observed during the visit. Interviews were conducted with the Executive Director, involved staff, and the resident. The facility was toured with no concerns or obstructions noted.

Report Facts
Capacity: 280 Census: 115

Employees mentioned
NameTitleContext
Christian GutierrezLicensing Program AnalystConducted the unannounced Case Management Visit
Preciousa MagpayoExecutive DirectorMet with Licensing Program Analyst during the visit and involved in interviews

Inspection Report

Census: 130 Capacity: 280 Citations: 0 Date: Jan 10, 2025

Visit Reason
Unannounced case management visit regarding a self-reported incident on the relocation of 16 residents from Santa Monica Gardens to Brookdale Uptown Whittier due to mandatory evacuation orders from Fire Advisory.

Findings
A health and safety check was conducted with no concerns observed. The facility has sufficient beds, supplies, and staffing to accommodate relocated residents, with all residents having designated rooms and continued care maintained. Fire inspection and drills were verified as completed.

Report Facts
Number of relocated residents: 16 Fire inspection date: Sep 15, 2024 Fire and disaster drill date: Dec 19, 2024

Employees mentioned
NameTitleContext
Daniel KonishiLicensing Program AnalystConducted the unannounced case management visit and health and safety check
Suzie MagpayoExecutive DirectorMet with Licensing Program Analyst and provided information about the relocation and facility status
David SicairosSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 103 Capacity: 280 Citations: 0 Date: Jun 13, 2024

Visit Reason
The inspection was an unannounced required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory standards.

Findings
The facility was found to be in compliance with all regulatory requirements with no deficiencies observed during the annual inspection. The inspection covered 12 CARE tool domains including infection control, physical plant safety, staffing, resident records, food services, and disaster preparedness.

Report Facts
Residents receiving home health services: 5 Residents receiving hospice care: 4 Hospice waiver residents: 8 Staff files reviewed: 8 Resident files reviewed: 10 Fire clearance capacity: 280 Liability insurance per occurrence: 2500000 Liability insurance total annual aggregate: 20000000 Resident medications reviewed: 10 Medication supply duration: 30

Employees mentioned
NameTitleContext
Suzie MagpayoAdministratorAdministrator who assisted with the inspection and was named in the report
Jose VillalobosLicensing EvaluatorLicensing evaluator who conducted the inspection
Fernando FierrosSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 105 Capacity: 280 Citations: 0 Date: May 13, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff does not ensure air quality is safe for residents in care.

Complaint Details
The complaint alleged that unhealthy air enters Resident 1's room causing health problems. Five of six staff denied the allegation, nine of ten residents could not corroborate it, and the Nurse Practitioner did not link the resident's eye health issues to air quality. The Licensing Program Analyst observed no dust or particles and noted the resident had covered vents with cardboard and tape. The allegation was unsubstantiated due to lack of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegation that toxic air was entering a resident's room and causing health problems. Interviews with staff and residents, observations, and medical record reviews did not support the claim, resulting in the allegation being unsubstantiated.

Report Facts
Staff interviewed: 6 Residents interviewed: 10 Facility capacity: 280 Facility census: 105

Employees mentioned
NameTitleContext
Jose VillalobosLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report
Suzie MagpayoExecutive DirectorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 110 Capacity: 280 Citations: 0 Date: May 7, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff failed to properly assess residents after falls.

Complaint Details
The allegation was that staff failed to properly assess residents after falls. Interviews with seven staff members and six residents did not support the allegation. Incident reports reviewed confirmed assessments were conducted and appropriate notifications made. The allegation was unsubstantiated due to lack of evidence.
Findings
The investigation found that all interviewed staff denied the allegation and residents could not corroborate it. Incident reports for three falls in the last two months showed proper assessment and follow-up. There was insufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.

Report Facts
Falls in last 2 months: 3 Staff interviewed: 7 Residents interviewed: 6

Employees mentioned
NameTitleContext
Jose VillalobosLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager
Preciousa MagpayoExecutive DirectorFacility administrator met during investigation

Inspection Report

Complaint Investigation
Census: 102 Capacity: 280 Citations: 0 Date: Mar 20, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2024-03-12 regarding pest control issues and improper disposal of a resident's personal belongings.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not keeping the facility free of insects and disposing of resident's personal belongings without consent. Staff and residents interviewed denied the allegations, and documentation showed pest control treatment was conducted. The resident in question had moved out prior to the investigation, and their belongings were moved by a hired moving company, not staff.
Findings
The investigation found insufficient evidence to substantiate the allegations that staff failed to keep the facility free of insects and that staff disposed of a resident's personal belongings without consent. Interviews, observations, and record reviews did not support the complaints, resulting in an unsubstantiated determination.

Report Facts
Capacity: 280 Census: 102 Staff interviewed: 7 Residents interviewed: 8 Pest control treatment date: Oct 10, 2023 Resident move-out date: Oct 31, 2023

Employees mentioned
NameTitleContext
Jose VillalobosLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed in report signature section
Preciousa MagpayoExecutive DirectorFacility administrator met during investigation

Inspection Report

Annual Inspection
Census: 107 Capacity: 280 Citations: 0 Date: Jul 18, 2023

Visit Reason
The inspection was an unannounced required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory standards.

Findings
The facility was found to be in compliance with all inspected domains including infection control, operational requirements, physical plant safety, staffing, personnel records, resident records, planned activities, food service, medical and dental services, disaster preparedness, and care for residents with special health needs. No deficiencies were observed during the annual inspection.

Report Facts
Residents receiving hospice care: 8 Staff files reviewed: 7 Resident files reviewed: 10 Fire and disaster drill date: Jun 15, 2023 Emergency and Disaster Plan date: Jan 20, 2023 Liability Insurance Amount: 5000000 Hot water temperature range: 109.4-118.4

Employees mentioned
NameTitleContext
Preciosa MagpayoAdministratorFacility administrator who assisted with the inspection and whose certificate expires on 2023-08-10
Christine WongLicensing EvaluatorLicensing Program Analyst who conducted the inspection
David SicairosSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 116 Capacity: 280 Citations: 0 Date: Nov 4, 2022

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including residents' needs not being met, inadequate food storage, lack of activities, and failure to provide residents with a copy of the contract.

Complaint Details
The complaint investigation was triggered by allegations received on 03/29/2022. The allegations included residents' needs not being met, inadequate food storage, lack of activities, and failure to provide residents with a copy of the contract. The investigation concluded all allegations were unsubstantiated.
Findings
The investigation found all allegations to be unsubstantiated based on interviews with staff and residents, observations, and record reviews. Residents and staff denied the allegations, and evidence showed adequate food, activities, and contract provision.

Report Facts
Capacity: 280 Census: 116 Staff interviewed: 6 Residents interviewed: 12

Employees mentioned
NameTitleContext
Alberto LopezLicensing Program AnalystConducted the complaint investigation visit
Preciosa MagpayoExecutive DirectorAdministrator met during the investigation and named in findings

Inspection Report

Annual Inspection
Census: 122 Capacity: 280 Citations: 0 Date: Jul 27, 2022

Visit Reason
Licensing Program Analyst Kruz Long conducted an unannounced visit to the facility to conduct an Annual Inspection.

Findings
The facility was found to be operating within licensed capacity and in compliance with state regulations including fire safety, resident care, staff training, and medication management. No deficiencies were observed during the visit.

Report Facts
Licensed capacity: 280 Census: 122 Inspection duration: 4 Staff records reviewed: 10 Resident records reviewed: 10

Employees mentioned
NameTitleContext
Suzie Preciosa MagpayoAdministratorMet with Licensing Program Analyst during inspection and named in report.
Kruz LongLicensing Program AnalystConducted the unannounced annual inspection.
Fernando FierrosSigned the report.

Inspection Report

Complaint Investigation
Census: 120 Capacity: 280 Citations: 0 Date: Feb 23, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations received on 01/05/2022 regarding staff mismanaging residents' medications, inadequate staff training, and inadequate staffing at the facility.

Complaint Details
The complaint investigation was unsubstantiated based on interviews with twelve residents and six staff members, record reviews, and observations. Allegations included medication mismanagement, inadequate training, and staffing shortages, all of which were denied or disproven by evidence collected.
Findings
The investigation included interviews with residents and staff, review of medication administration records, and staff training records. The findings showed that residents denied the allegations of medication mismanagement, staff were reported as well trained, and the facility was adequately staffed. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated determination.

Report Facts
Residents interviewed: 12 Staff interviewed: 6 Capacity: 280 Census: 120

Employees mentioned
NameTitleContext
Preciosa MagpayAdministratorMet with Licensing Program Analyst during the investigation and assisted with the visit
Christine WongLicensing Program AnalystConducted the complaint investigation visit
Christine YeeLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 117 Capacity: 280 Citations: 0 Date: Nov 17, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address the allegation that a resident was being charged for service not rendered.

Complaint Details
The complaint alleged that a resident was being charged monthly for services not rendered because they did not live in the facility or receive services. The allegation was unsubstantiated after investigation.
Findings
The investigation found that the resident continued to pay monthly for a room they had not moved into but had personal belongings there by choice. Staff and other residents denied the allegation, and there was insufficient evidence to substantiate the complaint, resulting in an unsubstantiated finding.

Report Facts
Capacity: 280 Census: 117

Employees mentioned
NameTitleContext
Jose VillalobosLicensing Program AnalystConducted the complaint investigation visit
Suzie MagpayoAdministratorMet with Licensing Program Analyst during investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 111 Capacity: 280 Citations: 0 Date: Jul 9, 2021

Visit Reason
The inspection was an annual required visit to evaluate the facility's compliance with regulations, including infection control, resident safety, and staff documentation.

Findings
The inspection found the facility to be in compliance with all applicable regulations, including infection control, medication storage, emergency contacts, and safety equipment. No deficiencies were issued.

Report Facts
Resident files reviewed: 10 Staff files reviewed: 10 Residents' medication files reviewed: 10 Perishable food supply: 2 Non-perishable food supply: 7 Hot water temperature range: 107.6-119.1

Employees mentioned
NameTitleContext
Suzie MagpayoAdministratorAssisted with the inspection visit and received the exit interview
Jonathan RenojoMaintenance DirectorMet with Licensing Program Analyst and explained reason for visit
Christine WongLicensing Program AnalystConducted the annual required visit

Inspection Report

Complaint Investigation
Census: 113 Capacity: 280 Citations: 1 Date: Jun 1, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging the facility had roaches.

Complaint Details
The complaint was substantiated. The allegation was that the facility had roaches. The investigation included a site visit, interviews with residents, review of pest control records, and a facility tour. The preponderance of evidence standard was met, confirming the complaint.
Findings
The investigation found one roach carcass under the stairway in the parking garage area, but the rest of the facility appeared clean. Interviews with residents indicated occasional sightings of roaches. The allegation was substantiated based on the preponderance of evidence.

Citations (1)
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by sighting of 1 roach carcass under the stairway in the parking garage area and resident reports of roach sightings.
Report Facts
Census: 113 Total Capacity: 280 Deficiency Type Count: 1 Plan of Correction Due Date: Jun 2, 2021

Employees mentioned
NameTitleContext
Suzie MagpayoExecutive DirectorMet with during inspection and named in complaint findings
Kruz LongLicensing Program AnalystConducted the complaint investigation and signed the report
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 113 Capacity: 280 Citations: 3 Date: May 8, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including facility disrepair, unsanitary conditions, pest infestation, inadequate food service, and failure to return residents' personal belongings.

Complaint Details
The complaint investigation was substantiated for allegations of facility disrepair and unsanitary conditions. The allegations of roach infestation and inadequate food service were partially substantiated, while the allegation of staff stealing residents' personal belongings was unsubstantiated.
Findings
The investigation substantiated allegations of facility disrepair related to roof leaks and elevator malfunction, and unsanitary conditions due to improper trash disposal. Allegations of roach infestation and inadequate food service were partially substantiated with some residents reporting cold food and occasional roaches but no infestation. The allegation of staff stealing residents' personal belongings was unsubstantiated.

Citations (3)
The licensee did not ensure that resident roofs on the fourth floor are in good repair at all times, posing a potential health and safety risk.
The licensee did not ensure that the elevator is working properly, posing a potential health and safety or personal rights risk to residents.
The licensee did not ensure that the resident's trash is stored in a manner that will not attract insects or transmit any odor, posing a health and safety risk.
Report Facts
Facility capacity: 280 Census: 113 Plan of Correction due date: May 21, 2021

Employees mentioned
NameTitleContext
Preciosa MagpayoAdministratorFacility Administrator involved in interviews and findings
Cynthia D ChanLicensing Program AnalystInvestigator conducting the complaint investigation
Lisa HicksLicensing Program ManagerManager overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 113 Capacity: 280 Citations: 0 Date: Apr 22, 2021

Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation that a resident was molested while in care.

Complaint Details
The allegation was that a resident was molested while in care. Interviews with residents and staff indicated no knowledge or evidence of abuse. The allegation was unsubstantiated.
Findings
The investigation included interviews with residents and staff, as well as a review of records. No evidence was found to substantiate the allegation, and the complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 280 Census: 113

Employees mentioned
NameTitleContext
Kruz LongLicensing Program AnalystConducted the complaint investigation and delivered findings
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager
Suzie MagpayoExecutive DirectorFacility representative met during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 112 Capacity: 280 Citations: 2 Date: Apr 15, 2021

Visit Reason
The inspection was an unannounced complaint investigation initiated due to allegations received on 11/12/2020 regarding the facility being in disrepair, not clean, and having roaches.

Complaint Details
The complaint investigation was substantiated for allegations of facility disrepair and cleanliness issues, but unsubstantiated for the allegation of roaches. The investigation included interviews with residents and staff, review of repair invoices, cleaning logs, and pest control records.
Findings
The investigation substantiated allegations that the facility was in disrepair with roof leaks and not clean due to improper trash removal protocols, posing potential health and safety risks. The allegation of roaches was found unsubstantiated after interviews and facility tours.

Citations (2)
Facility did not ensure roof leaks were completely repaired, with leaks and water stains observed in rooms #441, 421, and 401.
Facility protocol allowed residents to leave trash outside their doors before pick up, posing a potential health, safety, or personal rights risk.
Report Facts
Residents interviewed: 11 Staff interviewed: 7 Plan of Correction due date: Apr 29, 2021 Facility capacity: 280 Facility census: 112

Employees mentioned
NameTitleContext
Mary G FloresLicensing Program AnalystConducted the complaint investigation and interviews
Preciosa MagpayAdministratorFacility administrator interviewed during the investigation
Rebecca OrendainLicensing Program ManagerOversaw the complaint investigation report

Viewing

Loading inspection reports...