Inspection Reports for Atria Del Rey

8825 Base Line Rd, Rancho Cucamonga, CA 91730, United States, CA, 91730

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Inspection Report Annual Inspection Census: 102 Capacity: 145 Deficiencies: 0 Oct 23, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.
Findings
The facility was found to be operating within the approved capacity and in safe, clean conditions with no deficiencies cited. Resident rooms, physical plant, food service, and care supervision met regulatory standards, and medications were dispensed appropriately.
Report Facts
Resident files reviewed: 6 Staff files reviewed: 4
Employees Mentioned
NameTitleContext
Alondra FuentesExecutive DirectorMet with Licensing Program Analyst during inspection and received the report.
Paola GuerreroLicensing Program AnalystConducted the unannounced annual inspection visit.
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Census: 82 Capacity: 145 Deficiencies: 0 Oct 23, 2024
Visit Reason
The visit was a case management inspection focusing on the physical plant and maintenance issues at the facility.
Findings
The facility was found to be clean and free from odors and clutter in common areas. An incident involving a water leak in a resident's bathroom on 08/13/2024 was promptly addressed with repairs completed within two hours and follow-up work done. No evidence of damage was visible during the visit.
Report Facts
Capacity: 145 Census: 82 Repair time: 2 Temporary room move duration: 7
Employees Mentioned
NameTitleContext
Javier PrietoLicensing Program AnalystConducted the case management visit and inspection
Suby KumarExecutive DirectorMet with Licensing Program Analyst and toured the facility
Inspection Report Annual Inspection Census: 80 Capacity: 145 Deficiencies: 0 Aug 15, 2024
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be operating within licensed capacity and maintaining safe physical conditions, adequate food supply, and competent staffing. No deficiencies were cited during the inspection.
Report Facts
Capacity: 145 Census: 80
Employees Mentioned
NameTitleContext
Javier PrietoLicensing Program AnalystConducted the inspection and exit interview
Suby KumarExecutive DirectorFacility representative who met with the Licensing Program Analyst
Samuel DeguzmanAdministratorNamed as facility administrator
Inspection Report Complaint Investigation Census: 83 Capacity: 145 Deficiencies: 0 Feb 7, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff were not adhering to a resident's doctor's orders and were not meeting the needs of the resident.
Findings
The investigation found the allegations to be unsubstantiated due to lack of preponderance of evidence. The facility did not retain the doctor's orders for intravenous therapy, and the resident refused hospital treatment due to COVID-19 restrictions. The facility did not have a registered nurse available to administer IV therapy.
Complaint Details
The complaint alleged that staff were not adhering to the resident's doctor's orders for intravenous therapy and were not meeting the resident's needs. The allegation was found unsubstantiated after investigation including interviews, observations, and record review.
Report Facts
Facility capacity: 145 Resident census: 83
Employees Mentioned
NameTitleContext
Nicole StinsonResident Service DirectorMet with during the investigation and received the exit interview
Kathleen BanrasavongLicensing Program AnalystConducted the complaint investigation
Subashani KumarExecutive DirectorProvided information regarding facility records and staffing
Inspection Report Census: 82 Capacity: 145 Deficiencies: 0 May 3, 2023
Visit Reason
Licensing Program Analyst Javier Prieto conducted an unannounced Case Management visit to perform a Health & Safety check at the facility.
Findings
No imminent health and/or safety concerns or hazards were observed inside or outside the facility. The facility was found to have sufficient staff and the dining and kitchen areas were clean, sanitized, and neat. The needs of the residents appeared to be met during the inspection.
Employees Mentioned
NameTitleContext
Javier PrietoLicensing Program AnalystConducted the unannounced Case Management visit and inspection.
Suby KumarExecutive DirectorMet with Licensing Program Analyst during the visit.
Inspection Report Complaint Investigation Census: 89 Capacity: 145 Deficiencies: 0 Mar 21, 2023
Visit Reason
An unannounced visit was conducted to request records and deliver amended allegation findings related to a complaint about medication administration.
Findings
The allegation that staff did not ensure residents took medication was investigated and the amended finding was determined to be unsubstantiated.
Complaint Details
Complaint control number 18-AS-20220126095612 regarding staff not ensuring resident medication administration was found to be unsubstantiated.
Employees Mentioned
NameTitleContext
Suby KumarExecutive DirectorMet during the visit and signed the amended LIC9099 form.
Nicole StinsonResident Services DirectorMet during the visit and responsible for providing records electronically.
Anna BuenoLicensing Program AnalystConducted the unannounced visit and delivered amended allegation findings.
Nedra BrownLicensing Program ManagerNamed in the report header.
Inspection Report Complaint Investigation Census: 88 Capacity: 145 Deficiencies: 0 Sep 14, 2022
Visit Reason
The inspection was an unannounced complaint investigation regarding allegations of rodent infestation, unclean and unsanitary conditions, failure to provide necessary medical assistance, and failure to dispense medications as ordered.
Findings
The investigation found mouse droppings isolated to one resident's room, which was cleaned and treated, and the resident was relocated. The facility was otherwise clean, free from odors and clutter. Medical needs of the resident were addressed appropriately. Medication administration was verified as compliant. Therefore, all allegations were deemed unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on the investigation findings. There was no sufficient evidence to support the allegations of rodent infestation, unsanitary conditions, failure to provide medical assistance, or failure to dispense medications.
Report Facts
Capacity: 145 Census: 88
Employees Mentioned
NameTitleContext
Javier PrietoLicensing Program AnalystConducted the complaint investigation
Suby KumarExecutive DirectorMet with Licensing Program Analyst during investigation
Inspection Report Annual Inspection Census: 91 Capacity: 145 Deficiencies: 0 Sep 8, 2022
Visit Reason
Licensing Program Analyst Javier Prieto made an unannounced visit to conduct an annual inspection with an emphasis on infection control.
Findings
The facility was observed to have proper infection control measures including signage, hand hygiene supplies, PPE use, and cleaning protocols. No deficiencies were cited during this inspection.
Employees Mentioned
NameTitleContext
Suby KumarExecutive DirectorMet with Licensing Program Analyst during the inspection.
Javier PrietoLicensing Program AnalystConducted the annual inspection.
Karen ClemonsLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 86 Capacity: 145 Deficiencies: 1 Apr 15, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff gave medication not prescribed to a resident and did not obtain timely medication refill for a resident.
Findings
The complaint was substantiated based on evidence that staff gave medication not prescribed to Resident #1 and failed to obtain a timely medication refill, posing a potential health and safety risk. A civil penalty may be assessed if deficiencies are not corrected by the plan of correction date.
Complaint Details
The complaint was substantiated. Staff gave medication not prescribed to Resident #1 and failed to obtain timely medication refill. A civil penalty of $100 per day retroactively for the first 15 days may be assessed if deficiencies are not corrected by the plan of correction date.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Basic services including assistance with taking prescribed medications were not provided as required; staff admitted medication was not administered as prescribed and was not refilled in a timely manner.Type B
Report Facts
Capacity: 145 Census: 86 Civil penalty amount: 100 Penalty duration days: 15 Plan of Correction due date: Apr 29, 2022
Employees Mentioned
NameTitleContext
Rohit LamaLicensing Program AnalystConducted the complaint investigation and exit interview
Nicole StinsonResident Services DirectorMet with during investigation and exit interview
Samuel DeguzmanAdministratorFacility administrator named in report
Suby KumarExecutive DirectorMet with during amended complaint visit
Anna BuenoLicensing Program AnalystConducted amended complaint visit on 03/21/2023
Inspection Report Complaint Investigation Census: 81 Capacity: 145 Deficiencies: 4 Mar 14, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including resident falls, injuries, failure to notify authorized representatives, ceiling disrepair, and lack of laundry services.
Findings
The investigation substantiated that Resident 1 fell on 11/23/21 resulting in injuries and that the facility contacted the responsible party. The facility was unaware of a September fall. Ceiling repairs were completed after water damage. Laundry services were provided weekly. Some allegations were unsubstantiated due to lack of evidence.
Complaint Details
The complaint investigation was substantiated for allegations that Resident 1 fell on 11/23/21 causing injuries and that the facility contacted the responsible party. Other allegations such as failure to notify representatives for other incidents, ceiling disrepair, and lack of laundry services were unsubstantiated due to insufficient evidence.
Severity Breakdown
Type B: 4
Deficiencies (4)
DescriptionSeverity
Facility personnel were not sufficient in numbers and competent to provide necessary services to meet resident needs.Type B
Resident sustained falls on 9/24/21 and 11/23/21 resulting in minor injuries, posing a potential health and safety risk.Type B
Residents must be accorded safe, healthful, and comfortable accommodations; ceiling was in disrepair due to water damage.Type B
Resident sustained injuries after falls on 9/24/21 and 11/23/21, posing a potential health and safety risk.Type B
Report Facts
Capacity: 145 Census: 81 Deficiencies cited: 4 Plan of Correction Due Date: Mar 18, 2022
Employees Mentioned
NameTitleContext
Shaunte HenryLicensing Program AnalystConducted the complaint investigation and authored the report
Nedra BrownLicensing Program ManagerOversaw the complaint investigation
Erick RomeroDirector of Culinary ServicesMet with Licensing Program Analyst during the investigation
Samuel DeGuzmanAdministratorProvided information regarding resident falls and facility conditions
Inspection Report Annual Inspection Census: 85 Capacity: 145 Deficiencies: 0 Sep 30, 2021
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to assess compliance with regulatory requirements.
Findings
No deficiencies were observed or cited during the inspection. The facility demonstrated adequate infection control measures, including sufficient PPE supplies, COVID-19 mitigation plans, and proper signage recommendations.
Employees Mentioned
NameTitleContext
Samuel DeguzmanExecutive DirectorMet with Licensing Program Analyst during inspection and discussed report findings.
Shaunte HenryLicensing Program AnalystConducted the inspection and authored the report.
Nedra BrownLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Census: 83 Capacity: 145 Deficiencies: 0 Jul 8, 2021
Visit Reason
A case management visit was conducted to deliver an amended complaint investigation report regarding complaint number 18-AS-20210525135840.
Findings
The amended complaint investigation report was reviewed with and provided to the Executive Director Samuel DeGuzman. Nothing further was needed at this time.
Complaint Details
The visit was related to complaint number 18-AS-20210525135840. The report was amended and delivered during this visit.
Employees Mentioned
NameTitleContext
Samuel DeGuzmanExecutive DirectorFacility representative met during the case management visit and recipient of the amended complaint investigation report.
Pauline BeschornerLicensing Program AnalystConducted the case management visit and delivered the amended complaint investigation report.
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Complaint Investigation Capacity: 145 Deficiencies: 0 Jul 1, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff were not providing adequate care and supervision to a resident and were not addressing a resident's change in level of care.
Findings
The investigation found that the resident was independent in activities of daily living and medication administration, and reassessments showed no change in care needed. The complaint was determined to be unfounded and dismissed.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, and were without reasonable basis.
Report Facts
Facility capacity: 145
Employees Mentioned
NameTitleContext
Pauline BeschornerLicensing Program AnalystConducted the complaint investigation
Samuel DeGuzmanExecutive DirectorMet with Licensing Program Analyst during investigation
Karen ClemonsLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 85 Capacity: 145 Deficiencies: 0 Jul 1, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations received on 05/25/2021 regarding the facility's dietary services, cleanliness, disposal of needles and syringes, medical appointment arrangements, and reporting of resident condition changes.
Findings
The investigation found the allegations unsubstantiated or unfounded. The facility was observed to be clean, safe, and sanitary. The resident was able to self-manage medical appointments and diet, and there was no evidence that staff failed to report changes in condition. Needle disposal practices were noted but lacked sufficient evidence to confirm violations.
Complaint Details
The complaint investigation was unannounced and addressed multiple allegations including failure to meet dietary needs, cleanliness issues, improper disposal of needles, failure to arrange medical appointments, and failure to report changes in resident condition. The complaint was ultimately found to be unsubstantiated or unfounded after interviews and record reviews.
Report Facts
Capacity: 145 Census: 85 Number of used insulin needles observed: 5
Employees Mentioned
NameTitleContext
Samuel DeGuzmanExecutive DirectorMet with Licensing Program Analyst during complaint investigation and named in findings
Pauline BeschornerLicensing Program AnalystConducted the complaint investigation
Karen ClemonsLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 85 Capacity: 145 Deficiencies: 0 Jul 1, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility had bed bugs and that a resident's room was not maintained clean.
Findings
The allegation of bed bugs was found to be unfounded as the facility promptly engaged pest control and took appropriate measures. The allegation regarding the resident's room cleanliness was unsubstantiated due to insufficient evidence to prove the violation.
Complaint Details
The complaint investigation was conducted following a complaint received on 06/11/2021. The bed bug allegation was unfounded, and the resident room cleanliness allegation was unsubstantiated.
Report Facts
Capacity: 145 Census: 85
Employees Mentioned
NameTitleContext
Samuel DeGuzmanExecutive DirectorMet with Licensing Program Analyst during inspection and named in findings
Pauline BeschornerLicensing Program AnalystConducted the complaint investigation
Karen ClemonsLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Census: 74 Capacity: 145 Deficiencies: 0 Mar 12, 2021
Visit Reason
The Licensing Program Analyst contacted the facility via telephone due to COVID-19 to amend complaint findings issued on 11/18/2020 for complaint #18-AS-20200623090020.
Findings
The report documents a telephone contact with the Executive Director to inform him of the purpose of amending prior complaint findings related to a previous complaint investigation.
Complaint Details
The visit was related to amending complaint findings from complaint #18-AS-20200623090020 issued on 11/18/2020.
Employees Mentioned
NameTitleContext
Samuel De GuzmanExecutive DirectorSpoke with Licensing Program Analyst regarding amendment of complaint findings.
Stephanie TorresLicensing Program AnalystContacted the facility via telephone to amend complaint findings.
Reyna LaceyLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Complaint Investigation Census: 85 Capacity: 145 Deficiencies: 0 Nov 18, 2020
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility failed to meet a resident's hygiene needs.
Findings
The investigation found that Resident One was checked regularly by staff and was being assisted with hygiene needs when soiled. Emergency medical personnel observed the resident covered in excrement but noted no neglect and that staff had cleaned the resident prior to hospital transport. The allegation was deemed unfounded.
Complaint Details
The complaint alleged the facility failed to meet Resident One's hygiene needs, specifically that the resident was found covered in their own excrement upon hospital arrival. The allegation was investigated and determined to be unfounded.
Report Facts
Facility capacity: 145 Census: 85
Employees Mentioned
NameTitleContext
Samuel De GuzmanExecutive DirectorMet with during investigation and named in findings discussion
Stephanie TorresLicensing Program AnalystConducted the complaint investigation and delivered findings
Reyna LaceyLicensing Program ManagerNamed as Licensing Program Manager on report

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