Inspection Reports for
Aqua Ridge of Montclair

9631 MONTE VISTA AVE, MONTCLAIR, CA, 91763

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

50% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 59% occupied

Based on a March 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

0% 30% 60% 90% 120% Sep 2021 Apr 2023 Nov 2024 Jan 2025 Oct 2025 Mar 2026

Inspection Report

Complaint Investigation
Census: 88 Capacity: 150 Deficiencies: 1 Date: Mar 9, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2026-02-26 regarding staff not according resident privacy and restricting resident visitations.

Complaint Details
The complaint investigation was substantiated for the allegation that staff did not accord resident privacy due to prohibited audio recording by a camera in a resident's room. The allegation that staff restricted resident visitations was unsubstantiated as the restriction was imposed by the resident's power of attorney.
Findings
The investigation substantiated that staff violated resident privacy by allowing a camera with audio recording in a resident's room, which is prohibited. Another allegation that staff restricted resident visitations was unsubstantiated as the limitation was imposed by the resident's power of attorney, not staff.

Deficiencies (1)
Title 22, Division 6 Chapter 8 87468.2(a)(1): The licensee did not ensure residents have a reasonable level of personal privacy in accommodations and visits, violating personal rights regulations.
Report Facts
Capacity: 150 Census: 88

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Eldin SerranoLicensing Program AnalystConducted the complaint investigation
Karen ClemonsSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 77 Capacity: 150 Deficiencies: 4 Date: Dec 16, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 08/15/2024 regarding inadequate care, pest infestation, poor facility maintenance, and staff training deficiencies at Aqua Ridge of Montclair.

Complaint Details
The complaint investigation was substantiated based on evidence gathered during an unannounced visit. Allegations included inadequate care and supervision, pest infestation, poor facility maintenance, and insufficient staff training. One allegation about residents being soaked was unsubstantiated.
Findings
The investigation substantiated that staff failed to provide adequate care and supervision, the facility was not kept free from bugs, maintenance issues including foul odors were present, and staff were not properly trained to report residents' change of condition. One allegation regarding residents being soaked was unsubstantiated.

Deficiencies (4)
HSC 87468.1(a)(2) Personal Rights of Residents: The licensee failed to provide safe, healthful, and comfortable accommodations as evidenced by a soiled mattress used by Resident #1.
HSC 87468.1(3) Personal Rights of Residents: The licensee did not keep the facility free from insects, with a cockroach observed in Resident #2's room.
CCR 87303(a)(1) Maintenance and Operation: The facility was not maintained in a clean, sanitary, and odorless condition, with a strong urine odor detected in the memory care unit.
CCR 87411(a) Personnel Requirements - General: Staff were not properly trained to report and address residents' change of condition, as evidenced by failure to document bowel or bladder impairments for Resident #1.
Report Facts
Capacity: 150 Census: 77 Rooms inspected: 13 Residents observed: 18 Plan of Correction Due Date: Dec 27, 2025

Employees mentioned
NameTitleContext
Paola GuerreroLicensing Program AnalystConducted the complaint investigation and delivered findings
Jonnathan RiosFacility Resident Services DirectorMet with Licensing Program Analyst during investigation and exit interview

Inspection Report

Annual Inspection
Census: 71 Capacity: 150 Deficiencies: 2 Date: Oct 2, 2025

Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for the Elderly.

Findings
The facility was generally compliant with licensing requirements, with adequate physical plant conditions, food supply, and care supervision. One deficiency was cited related to improper logging and tracking of medication administration for resident #5.

Deficiencies (2)
CCR 87465(c)(3): The medication for resident #5 was not properly logged and tracked as to the accuracy of the date of administration, posing an immediate health, safety, or personal rights risk.
The emergency disaster plan was not signed to determine if it was updated or reviewed, resulting in a technical violation.
Report Facts
Resident files reviewed: 5 Staff files reviewed: 5 Non-perishable food supply: 7 Perishable food supply: 2

Employees mentioned
NameTitleContext
Jonnathan RiosResident Care DirectorMet with Licensing Program Analyst during inspection and participated in exit interview.

Inspection Report

Complaint Investigation
Census: 71 Capacity: 150 Deficiencies: 0 Date: Oct 2, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate multiple allegations received on 2025-09-04 regarding staff practices and facility conditions at Aqua Ridge of Montclair.

Complaint Details
The complaint investigation was unsubstantiated. Despite multiple allegations including mishandling of medications, inadequate care, and infestation, the Licensing Program Analyst found no evidence to support the claims after interviews, observations, and record reviews.
Findings
The investigation found no evidence to corroborate any of the nine allegations, including staff safeguarding, resident care, medication handling, staff qualifications and training, food handling, supervision, bathing needs, and pest control. All allegations were determined to be unsubstantiated.

Report Facts
Capacity: 150 Census: 71 Number of allegations: 9

Employees mentioned
NameTitleContext
Jonnathan RiosResident Care DirectorMet with Licensing Program Analyst during the investigation and exit interview
Monique Del JuncoAdministratorNamed as facility administrator in the report header

Inspection Report

Census: 69 Capacity: 115 Deficiencies: 0 Date: Aug 20, 2025

Visit Reason
The visit was conducted for the purpose of increasing the facility's capacity from 115 to 150 non-ambulatory residents, including bedridden residents.

Findings
The Licensing Program Analyst observed that client bedrooms were appropriately furnished and had functional lighting. The physical plant was found ready for an increase in capacity, and a new license reflecting the capacity change will be issued.

Report Facts
Capacity change request: 150 Fire clearance approved capacity: 150

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet with Licensing Program Analyst during visit and discussed report
Eldin SerranoLicensing Program AnalystConducted the inspection visit
Karen ClemonsLicensing Program ManagerNamed in report header

Inspection Report

Complaint Investigation
Census: 70 Capacity: 115 Deficiencies: 0 Date: Jun 18, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff do not administer residents' medications as prescribed.

Complaint Details
The complaint alleged that staff do not administer residents' medications as prescribed. The investigation included interviews with residents and staff and a review of records. The allegation was found to be unfounded and dismissed.
Findings
The investigation found no evidence to corroborate the allegation. Interviews and record reviews confirmed that medications were administered as prescribed, and the complaint was determined to be unfounded.

Report Facts
Capacity: 115 Census: 70

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet with Licensing Program Analyst during the investigation and participated in exit interview
Eldin SerranoLicensing Program AnalystConducted the complaint investigation visit
Karen ClemonsSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Capacity: 115 Deficiencies: 1 Date: Apr 11, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including resident medication not being administered, staff causing injury to a resident, rough handling of a resident, and unexplained resident injury.

Complaint Details
The complaint investigation was substantiated for the allegation that resident medication was not administered as prescribed. Other allegations about staff causing injury, rough handling, and unexplained injury were unsubstantiated.
Findings
One allegation regarding failure to administer medication as ordered was substantiated. Other allegations related to staff causing injury, rough handling, and unexplained injury were unsubstantiated based on interviews and record review.

Deficiencies (1)
CCR 87465(d)(3) was not met as the Licensee/Administrator failed to administer the water pill according to the physician’s orders, posing an immediate risk to resident health and safety.
Report Facts
Facility Capacity: 115

Employees mentioned
NameTitleContext
Monique Del JuncoAdministratorNamed in medication administration finding and involved in exit interviews
Renese Howell-SmallLicensing Program AnalystConducted complaint investigation and authored report

Inspection Report

Complaint Investigation
Census: 72 Capacity: 115 Deficiencies: 0 Date: Jan 30, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff do not answer residents' calls for assistance timely.

Complaint Details
The complaint alleged that staff do not answer residents' calls for assistance timely. The allegation was unsubstantiated based on review of call records, staff ratios, and observations.
Findings
The investigation found insufficient evidence to support the allegation. The average response time to pull cord calls was 7 minutes, and the ward was adequately staffed with a 3 to 1 caregiver to resident ratio.

Report Facts
Average response time to pull cord calls: 7 Census: 72 Total capacity: 115 Caregiver to resident ratio: 3 Residents in Memory Care Unit: 24 Pull cord activations: 5

Employees mentioned
NameTitleContext
Javier PrietoLicensing Program AnalystConducted the complaint investigation
Monique Del JuncoExecutive DirectorFacility administrator met during investigation

Inspection Report

Complaint Investigation
Census: 68 Capacity: 115 Deficiencies: 0 Date: Jan 3, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-12-13 regarding staff causing injury, unclean resident rooms, falsified records, and staff alcohol use on shift.

Complaint Details
The complaint included allegations that staff caused injury to a resident, did not keep resident rooms clean, falsified resident records, and consumed alcohol while on shift. All allegations were found unsubstantiated based on interviews and observations.
Findings
The investigation found no evidence to corroborate any of the allegations. Interviews with residents and staff, observations, and record reviews indicated that the allegations were unsubstantiated.

Report Facts
Capacity: 115 Census: 68

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet with Licensing Program Analyst during investigation and named as facility representative
Eldin SerranoLicensing Program AnalystConducted the complaint investigation visit
Karen ClemonsSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 70 Capacity: 115 Deficiencies: 0 Date: Dec 27, 2024

Visit Reason
The visit was an unannounced Case Management Visit for a health and safety check in response to a phone call received at the Community Care Licensing Office on 2024-12-24.

Findings
No deficiencies were observed during the visit. The Licensing Program Analyst conducted a health and safety check and interviewed staff.

Inspection Report

Complaint Investigation
Census: 71 Capacity: 115 Deficiencies: 2 Date: Nov 8, 2024

Visit Reason
An unannounced complaint investigation visit was conducted to investigate multiple allegations including medication administration, pressure injury due to neglect, cleanliness, hygiene, laundry timeliness, medication timeliness, safeguarding residents' personal property, and supervision related to resident falls.

Complaint Details
The complaint investigation was triggered by multiple allegations including medication errors, neglect causing pressure injuries, cleanliness, hygiene, laundry delays, medication administration delays, failure to safeguard personal property, and lack of supervision causing falls. The investigation concluded that most allegations were unsubstantiated except for the safeguarding and supervision issues which were substantiated.
Findings
The investigation found most allegations unsubstantiated due to lack of evidence, except for two allegations: failure to safeguard residents' personal property and insufficient supervision leading to multiple resident falls, which were substantiated. Staffing shortages were noted and cited.

Deficiencies (2)
CCR 87411(a) - Facility personnel were not sufficient in numbers and competence to meet resident needs as evidenced by staffing shortages.
CCR 87217(b) - Facility failed to safeguard residents' personal property, allowing a wandering resident to take another resident's clothes.
Report Facts
Capacity: 115 Census: 71 Deficiency count: 2 Plan of Correction Due Date: 2024

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet with Licensing Program Analysts during investigation and exit interview
Jonnathan RiosResident Care DirectorInterviewed regarding safeguarding residents' personal property and staffing
Eldin SerranoLicensing EvaluatorConducted complaint investigation and signed report
Sarina RamirezLicensing Program AnalystAssisted in complaint investigation visit

Inspection Report

Annual Inspection
Census: 71 Capacity: 115 Deficiencies: 1 Date: Nov 8, 2024

Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for the Elderly.

Findings
The facility was generally compliant with regulations, but one deficiency was cited regarding unsafe storage of cleaning supplies and other dangerous items accessible to residents.

Deficiencies (1)
CCR 87309(a): Cleaning supplies, toxins, sharps, and other dangerous items were not kept in a secure area or locked cabinets inaccessible to residents, posing an immediate health and safety risk.
Report Facts
Deficiencies cited: 1 Resident files reviewed: 5 Staff files reviewed: 5 Non-perishable food supply: 7 Perishable food supply: 2 Bedrooms: 105 Bathrooms: 78

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet during inspection and named in report
Jonathan RiosResident Care DirectorAccompanied LPAs during inspection
Eldin SerranoLicensing Program AnalystConducted inspection and signed report
Sarina RamirezLicensing Program AnalystConducted inspection
Karen ClemonsSupervisorSupervisor of licensing evaluation

Inspection Report

Complaint Investigation
Census: 71 Capacity: 115 Deficiencies: 1 Date: Nov 8, 2024

Visit Reason
The visit was conducted to investigate complaints alleging that staff do not respond to requests for assistance in a timely manner and that the licensee is not ensuring sufficient staff to meet residents' care needs.

Complaint Details
The complaint investigation was substantiated based on interviews with residents and staff, file reviews, and observation of staffing schedules. The allegations regarding delayed staff response and insufficient staffing were confirmed.
Findings
The investigation found that staff response times were inconsistent and sometimes delayed up to 30 to 45 minutes, posing a health and safety risk. It was also substantiated that the facility did not have enough staff scheduled to meet residents' needs, especially during night shifts and weekends.

Deficiencies (1)
CCR 87411(a) - Facility personnel were not sufficient in numbers and competent to meet resident needs as required. The licensee did not ensure enough staff were scheduled to meet residents' needs.
Report Facts
Capacity: 115 Census: 71 Plan of Correction Due Date: Dec 9, 2024

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet with Licensing Program Analysts during investigation and received report
Jonnathan RiosResident Care DirectorInterviewed regarding staff schedule and staffing levels

Inspection Report

Complaint Investigation
Census: 69 Capacity: 115 Deficiencies: 0 Date: Jun 10, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff do not allow residents to have visitors.

Complaint Details
The complaint alleged that staff do not allow residents to have visitors. The allegation was unsubstantiated based on interviews, observations, and records review.
Findings
The investigation found no evidence to support the allegation. Interviews with residents and staff confirmed that residents are allowed visitors without restriction, and observations confirmed staff allowed visitors during the visit.

Report Facts
Capacity: 115 Census: 69

Employees mentioned
NameTitleContext
Monique Del JuncoExecutive DirectorMet during the investigation and exit interview
Jonathan RiosResident Care DirectorMet during the investigation and exit interview
Melody BrownLicensing Program AnalystConducted the complaint investigation

Inspection Report

Annual Inspection
Census: 65 Capacity: 115 Deficiencies: 0 Date: Dec 27, 2023

Visit Reason
The visit was an unannounced annual inspection of the Aqua Ridge of Montclair Residential Care Facility for the Elderly to assess compliance with licensing regulations.

Findings
The facility was found to be operating within approved capacity and conditions. The physical plant, food service, care and supervision, staff and resident records, administration, and medication services were all in compliance with regulations. No deficiencies were cited.

Report Facts
Residents reviewed: 15 Staff files reviewed: 10 Hospice Waiver Approval: 12

Employees mentioned
NameTitleContext
Amber ColemanLicensing Program AnalystConducted the annual inspection
Diana GonzalezBusiness Office DirectorGreeted the Licensing Program Analyst during the visit
Chris RileyCulinary DirectorProvided tour of the facility kitchen and food service
Jessica SanchezFacility representative who acknowledged receipt of the report
Monique Del JuncoAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 37 Capacity: 115 Deficiencies: 0 Date: Apr 7, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-06-22 regarding insufficient staffing, untrained staff, medication mismanagement, failure to reposition residents, and unsafe environment.

Complaint Details
The complaint included allegations of insufficient staffing, untrained staff, medication mismanagement, failure to reposition residents, and unsafe environment. The investigation concluded all allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found all allegations to be unsubstantiated based on observations, interviews, and record reviews. Staffing levels and training were adequate, medications were administered as prescribed, residents received needed assistance, and no safety concerns were identified.

Report Facts
Staff employed: 27 Residents files reviewed: 6 Residents interviewed: 2 Staff observed assisting: 5

Employees mentioned
NameTitleContext
Monique Del JuncoAdministratorMet during investigation and received report
Bernadette AllenLicensing Program AnalystConducted the complaint investigation visit
Karen ClemonsSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 33 Capacity: 115 Deficiencies: 0 Date: Jan 20, 2023

Visit Reason
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

Findings
The facility was found to be in compliance with no deficiencies cited. The facility has a COVID-19 infection control plan, adequate PPE supplies, and follows proper infection prevention practices.

Report Facts
PPE supply duration: 30

Employees mentioned
NameTitleContext
Monique Del JuncoFacility AdministratorMet with Licensing Program Analyst during inspection and discussed infection control practices.
Paola GuerreroLicensing Program AnalystConducted the unannounced annual inspection visit.

Inspection Report

Census: 18 Capacity: 115 Deficiencies: 0 Date: Apr 27, 2022

Visit Reason
Licensing Program Analyst conducted an unannounced visit to complete a Health & Safety check at the facility.

Findings
No imminent health or safety concerns were observed. Residents appeared safe and their needs were met during the inspection.

Inspection Report

Original Licensing
Capacity: 115 Deficiencies: 0 Date: Sep 29, 2021

Visit Reason
The visit was conducted as a pre-licensing evaluation for a new Residential Care for the Elderly facility application submitted on 2020-10-13.

Findings
The facility is new construction with adequate furnishings, safety features, and no identified hazards. The physical plant is prepared for licensure at this time.

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