Inspection Reports for
Cadence at Rancho Cucamonga by Cogir
10459 Church St, Rancho Cucamonga, CA 91730, United States, CA, 91730
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
83% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
91% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Census: 107
Capacity: 117
Deficiencies: 0
Date: Mar 12, 2026
Visit Reason
The visit was a case management inspection involving the signing of an amended complaint report by the Executive Director and Licensing Program Analyst.
Findings
The report documents the signing of an amended complaint report; no specific deficiencies or findings are detailed in the provided text.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Willett | Executive Director | Met with during the visit and signed the amended complaint report. |
| Javier Prieto | Licensing Program Analyst | Arrived to have the Executive Director sign the amended complaint report. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 110
Capacity: 117
Deficiencies: 0
Date: Feb 25, 2026
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to assess compliance with licensing requirements for the Residential Care Facility for Elderly.
Findings
The facility was found to be operating within approved capacity and in good repair with no obstructions, sufficient furniture, clean bathrooms, and proper safety equipment. Food supply and care staff coverage were adequate, and all staff had criminal record clearance. A review of resident and staff files and medication audits revealed no deficiencies.
Report Facts
Resident files reviewed: 8
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Willett | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Javier Prieto | Licensing Program Analyst | Conducted the inspection visit |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 117
Deficiencies: 0
Date: Feb 24, 2026
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2023-11-17 regarding staff mistreatment, incontinence care, cleanliness, injury, dignity, observation, and supervision at the facility.
Complaint Details
The complaint investigation was triggered by allegations including rough handling of residents, yelling, unmet incontinence care needs, unclean bed sheets, unexplained injury, lack of dignity in staff relationships, insufficient observation for changes in functioning, and inadequate night supervision. All allegations were found unsubstantiated due to lack of evidence.
Findings
The investigation found all allegations to be unsubstantiated based on interviews with seven residents and five staff members, observations, record reviews, and facility walkthroughs. Residents and staff consistently denied mistreatment, neglect, or inadequate supervision, and records supported sufficient staffing and care.
Report Facts
Capacity: 117
Census: 109
Resident interviews: 7
Staff interviews: 5
Complaint receipt date: Nov 17, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Ashley Willett | Facility Executive Director | Met with Licensing Program Analyst during investigation and received report |
| Efren Malagon | Supervisor | Named as supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 117
Deficiencies: 3
Date: Dec 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-04-28 regarding allegations of neglect and refusal of care at Cadence at Rancho Cucamonga facility.
Complaint Details
The complaint investigation was substantiated for allegations that staff did not seek timely medical attention for a resident's serious injury and refused to assist a resident with toileting and dressing. The allegations that staff handled a resident in a rough manner causing injury and left a resident with soiled bedding were unsubstantiated. An immediate civil penalty of $500 was assessed.
Findings
The investigation substantiated allegations that staff did not seek timely medical attention for a resident's serious injury and refused to assist a resident with toileting and dressing, posing immediate health, safety, and personal rights risks. Other allegations regarding rough handling of a resident and leaving a resident with soiled bedding were unsubstantiated.
Deficiencies (3)
Failure to provide timely medical assistance and transportation for resident's injury.
Failure to uphold personal rights including dignity and safe, comfortable accommodations for residents.
Failure to be free from punishment, humiliation, intimidation, abuse, or punitive actions such as withholding daily living functions.
Report Facts
Capacity: 117
Census: 115
Civil penalty: 500
Plan of Correction Due Date: Dec 10, 2025
Plan of Correction Due Date: Dec 26, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Ashley Willett | Administrator | Facility administrator met during investigation and exit interview |
Inspection Report
Annual Inspection
Census: 100
Capacity: 117
Deficiencies: 0
Date: Feb 25, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).
Findings
The facility was found to be operating within approved capacity and in good repair with no obstructions, sufficient furniture, clean bathrooms, and proper safety equipment. Staff had required clearances and certifications, medications were dispensed appropriately, and no deficiencies were cited.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Figueroa | Facility Administrator | Met with Licensing Program Analyst during inspection and named in report. |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report
Annual Inspection
Census: 100
Capacity: 117
Deficiencies: 0
Date: Feb 25, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to assess compliance with regulations.
Findings
The facility was found to be operating within its licensed capacity, maintaining safe and clean conditions, with sufficient staffing and proper medication management. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Figueroa | Facility Administrator | Met with Licensing Program Analyst during inspection |
| Paola Guerrero | Licensing Program Analyst | Conducted the inspection |
| Efren Malagon | Supervisor | Named as supervisor in report |
Inspection Report
Census: 94
Capacity: 117
Deficiencies: 0
Date: Apr 2, 2024
Visit Reason
The visit was a case management visit regarding an incident involving resident #1 at the facility.
Findings
The Licensing Program Analyst conducted interviews and reviewed documentation related to the incident. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the case management visit and signed the report. |
| Gen Diaz | Business Office Director | Met with the Licensing Program Analyst during the visit. |
| Cynthia Figueroa | Administrator | Named as facility administrator. |
Inspection Report
Census: 94
Capacity: 117
Deficiencies: 0
Date: Apr 2, 2024
Visit Reason
The visit was a case management visit regarding an incident involving resident #1 at the facility.
Findings
No deficiencies were cited during this visit. The facility staff followed proper protocol in response to the incident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the case management visit and signed the report. |
| Gen Diaz | Business Office Director | Met with Licensing Program Analyst during the visit. |
| Cynthia Figueroa | Administrator | Named as facility administrator. |
Inspection Report
Annual Inspection
Census: 106
Capacity: 117
Deficiencies: 0
Date: Feb 22, 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, competent staffing, and proper medication management. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 10
Staff files reviewed: 5
Disaster drill date: Feb 15, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Figueroa | Executive Director | Met with Licensing Program Analyst during inspection |
| Javier Prieto | Licensing Program Analyst | Conducted the inspection |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 106
Capacity: 117
Deficiencies: 0
Date: Feb 22, 2024
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing regulations and overall operation.
Findings
The facility was found to be operating within capacity and in compliance with physical plant, food service, care and supervision, administration, and medical related service requirements. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 10
Staff files reviewed: 5
Disaster drill date: Feb 15, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Figueroa | Executive Director | Facility representative who greeted the Licensing Program Analyst and participated in the inspection |
| Javier Prieto | Licensing Program Analyst | Conducted the inspection and evaluation |
| Karen Clemons | Supervisor | Supervisor named in the report |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 117
Deficiencies: 1
Date: Jan 22, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that a resident eloped from the facility without staff knowledge, sustaining an injury.
Complaint Details
The complaint was substantiated based on observations, record reviews, and staff interviews. The resident eloped on 01/15/24, sustaining a knee injury. The facility was found to be inadequately supervising the resident at that time.
Findings
The investigation substantiated the complaint that staff did not provide adequate care and supervision when the resident left the facility unsupervised and sustained an injury. The facility has since increased supervision, added door alarms, provided staff training on elopement, and the resident's family arranged additional supervision and physician intervention.
Deficiencies (1)
Failure to provide care and supervision as necessary to meet the client's needs, resulting in a resident eloping from the facility unsupervised and sustaining an injury.
Report Facts
Census: 110
Total Capacity: 117
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Nedra Brown | Licensing Program Manager | Oversaw the complaint investigation |
| Krystal Jenkins | Vice President | Facility representative who met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 117
Deficiencies: 0
Date: Feb 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2023-02-09 regarding staff not following COVID protocols, not meeting the needs of COVID positive residents, and insufficient staffing affecting timely meal service, feeding assistance, and toileting assistance.
Complaint Details
The complaint investigation was unsubstantiated. There was not enough evidence to prove that staff failed to follow COVID protocols or meet resident needs related to COVID positive care and timely assistance with meals, feeding, and toileting.
Findings
The investigation found that the facility was following COVID protocols with proper PPE and sanitation stations, and staff were meeting the needs of COVID positive residents. Interviews with staff and residents confirmed that meals, feeding, and toileting assistance were provided in a timely manner. Therefore, the allegations were deemed unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 117
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Gen Diaz | Business Office Director | Met with investigators during the complaint investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 117
Deficiencies: 0
Date: Oct 27, 2022
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that the facility doors are too heavy for residents in wheelchairs to open and exit at will, and that sinks are not wheelchair accessible.
Complaint Details
The complaint was unsubstantiated based on the investigation findings. The Licensing Program Analyst met with the Executive Director, toured the facility, and interviewed residents. The Executive Director acknowledged concerns and stated plans for renovations to meet building codes.
Findings
The investigation found that the facility doors are fire doors installed since 2020 and while some doors are heavy, residents have means to request assistance. The facility has wheelchair accessible sinks limited to the memory care section. The allegations were deemed unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 117
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Cynthia Figueroa | Executive Director | Met with Licensing Program Analyst and involved in addressing concerns |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 117
Deficiencies: 0
Date: Mar 3, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2022-02-09 regarding medication administration, notification of change in condition, and missed medication at the facility.
Complaint Details
The complaint included three allegations: 1) Staff did not administer medications according to physician orders; 2) Staff did not notify authorized representative of change in condition; 3) Resident missed medication. After investigation, all allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that although some medication administration issues were noted, the evidence was insufficient to substantiate the allegations. The complaint was determined to be unsubstantiated after review of records and interviews.
Report Facts
Capacity: 117
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ben Jilbert | Memory Care Director | Met with Licensing Program Analysts during the investigation |
| Shaunte Henry | Licensing Program Analyst | Conducted the complaint investigation |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 75
Capacity: 117
Deficiencies: 0
Date: Mar 3, 2022
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to assess compliance with regulatory requirements.
Findings
The facility was found to be in compliance with infection control practices, including COVID-19 mitigation measures, and no deficiencies were observed or cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alexis Perez | Executive Director | Met with Licensing Program Analysts during the inspection. |
Inspection Report
Annual Inspection
Census: 75
Capacity: 117
Deficiencies: 0
Date: Mar 3, 2022
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to evaluate the facility's compliance with regulatory requirements.
Findings
The inspection found the facility in compliance with infection control practices, including COVID-19 symptom screening, PPE availability, and a COVID mitigation plan. No deficiencies were observed or cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alexis Perez | Executive Director | Met with Licensing Program Analysts during the inspection and discussed the report. |
Inspection Report
Original Licensing
Capacity: 117
Deficiencies: 0
Date: Feb 8, 2021
Visit Reason
An announced pre-licensing video conference inspection was conducted due to COVID-19 to evaluate the facility's readiness for licensure as a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was observed to have appropriate screening procedures, adequate PPE supplies, fire safety equipment, and suitable living accommodations including assisted living and memory care units. The fire inspection was conducted and approved, and the facility appears ready for licensure.
Report Facts
Facility capacity: 117
Census: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alexis Perez | Director | Met with Licensing Program Analyst during inspection |
| Shaunte Henry | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Edna Musoke | Licensing Program Manager | Named in report header |
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