Inspection Reports for Merrill Gardens at Rancho Cucamonga

9942 Highland Ave, Rancho Cucamonga, CA 91737, CA, 91737

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Inspection Report Annual Inspection Census: 116 Capacity: 150 Deficiencies: 0 Oct 1, 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 its approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection based on observations and record reviews.
Report Facts
Resident files reviewed: 4 Staff files reviewed: 4
Employees Mentioned
NameTitleContext
Usman ChaudaryFacility AdministratorMet with Licensing Program Analyst during inspection and named in report
Paola GuerreroLicensing Program AnalystConducted the inspection and signed the report
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection
Inspection Report Complaint Investigation Census: 102 Capacity: 150 Deficiencies: 0 Jan 13, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding an allegation that the facility was unable to provide power to residents during a power outage.
Findings
The investigation found that during a Public Safety Power Shutoff on 01/07/2025, the facility utilized portable power generators, lighting, and oxygen tanks to meet resident needs. Interviews with residents confirmed they felt safe and their needs were met. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged the facility was unable to provide power during a power outage. The allegation was found to be unsubstantiated after investigation including interviews, observations, and record reviews.
Report Facts
Facility capacity: 150 Census: 102
Employees Mentioned
NameTitleContext
Paola GuerreroLicensing Program AnalystConducted the complaint investigation and unannounced visit
Usman ChaudaryAdministratorFacility Administrator interviewed during investigation
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 98 Capacity: 150 Deficiencies: 0 Nov 8, 2024
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 its approved capacity, clean, in good repair, and safe for residents. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 6 Staff files reviewed: 6
Employees Mentioned
NameTitleContext
Usman ChaudaryAdministratorFacility Administrator met during inspection and named in report.
Paola GuerreroLicensing Program AnalystConducted the inspection visit.
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager.
Inspection Report Annual Inspection Census: 103 Capacity: 150 Deficiencies: 0 Dec 11, 2023
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, clean, in good repair, and safe for residents. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 6 Staff files reviewed: 6 Water temperature: 109.8
Employees Mentioned
NameTitleContext
Usman ChaudaryFacility General ManagerMet with Licensing Program Analyst during inspection and participated in exit interview.
Paola GuerreroLicensing Program AnalystConducted the unannounced annual inspection visit.
Efren MalagonLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 106 Capacity: 150 Deficiencies: 0 Sep 14, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that the facility was operating without a qualified administrator.
Findings
The investigation found that the facility was operating with a qualified administrator who has been in position since June 26, 2023. The allegation was determined to be unfounded and dismissed.
Complaint Details
The complaint alleged that the facility was operating without a qualified administrator. The allegation was found to be unfounded.
Employees Mentioned
NameTitleContext
Mary RicoLicensing Program AnalystConducted the complaint investigation and delivered findings.
Usman ChaudaryAdministratorInterviewed during the investigation and confirmed as qualified administrator.
Inspection Report Complaint Investigation Census: 105 Capacity: 150 Deficiencies: 0 Sep 13, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-09-06 regarding facility sanitation, proper assistance by staff, and provision of proper bedding to residents.
Findings
The investigation included staff and resident interviews, document reviews, and a facility tour. All three allegations were found to be unsubstantiated, with no deficiencies cited during the visit.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 150 Census: 105 Number of housekeeping/universal workers: 5 Number of care givers: 2 Number of care givers: 2
Employees Mentioned
NameTitleContext
Mary RicoLicensing Program AnalystConducted the complaint investigation
Efren MalagonLicensing Program ManagerOversaw the complaint investigation
Usman ChaudaryAdministratorFacility administrator met during the investigation
Inspection Report Complaint Investigation Census: 100 Capacity: 150 Deficiencies: 0 Aug 11, 2023
Visit Reason
The visit was conducted to investigate complaints received on 2020-06-03 alleging staff mishandling residents' medication and inaccurate medication logs.
Findings
The investigation found that staff were following medication protocols and no evidence of mishandling medication or inaccurate medication logs was found. The allegations were deemed unsubstantiated based on interviews, record reviews, and observations.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 150 Census: 100
Employees Mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation visit
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager on report
David TamoAdministratorFacility Administrator met during investigation
Usman ChaudaryFacility representative met during investigation
Inspection Report Census: 113 Capacity: 150 Deficiencies: 0 Dec 14, 2022
Visit Reason
The visit was a Case Management - Other type of visit, related to a complaint investigation initiated on 5/20/2022.
Findings
No deficiencies were cited at the time of the visit. The report was discussed and signed by the Business Office Director.
Complaint Details
The visit was initiated as a complaint investigation with control number 56-AS-20220518164927. No deficiencies were found, and the complaint was not substantiated.
Employees Mentioned
NameTitleContext
Jeanane St. LouisBusiness Office DirectorMet during the visit and signed the report.
David TamoAdministratorMentioned as unavailable to sign the amended LIC-9099-D document.
Bernadette AllenLicensing Program AnalystConducted the complaint investigation visit.
Karen ClemonsLicensing Program ManagerNamed in the report header.
Inspection Report Annual Inspection Census: 107 Capacity: 150 Deficiencies: 0 Oct 13, 2022
Visit Reason
An unannounced annual inspection was conducted with emphasis on infection control measures at the facility.
Findings
The inspection found that the facility had adequate infection control measures including signage, PPE supply, hand hygiene, and staff training. No deficiencies were cited during the visit.
Report Facts
PPE supply duration: 30
Employees Mentioned
NameTitleContext
David TamoAdministratorMet with Licensing Program Analysts during the inspection and accompanied them on a tour of the facility.
Natalie IbarraLicensing Program AnalystConducted the inspection and signed the report.
Paola GuerreroLicensing Program AnalystConducted the inspection.
Efren MalagonLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 113 Capacity: 150 Deficiencies: 1 May 20, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the licensee refused to allow a resident to return to the facility after discharge from the hospital.
Findings
The investigation found that the licensee did not allow the resident to return unless 24-hour care could be provided, did not perform a reassessment, and failed to provide the resident with a 30-day eviction notice. The allegation was substantiated based on interviews, observations, and record reviews.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. The licensee refused to allow the resident to return without 24-hour care and did not provide the required eviction notice.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Licensee refused to allow the resident back into the facility after hospital discharge unless 24-hour care was provided, did not perform a reassessment, and failed to provide a 30-day eviction notice.Type B
Report Facts
Capacity: 150 Census: 113 Deficiencies cited: 1 Plan of Correction due date: May 23, 2022
Employees Mentioned
NameTitleContext
David TamoAdministratorNamed in findings related to refusal to allow resident return
Bernadette AllenLicensing Program AnalystConducted the complaint investigation
Karen ClemonsLicensing Program ManagerOversaw the complaint investigation report
Inspection Report Annual Inspection Census: 170 Capacity: 150 Deficiencies: 0 Nov 1, 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 compliance with infection control practices, including COVID-19 mitigation measures, vaccination status, and availability of PPE.
Report Facts
Residents vaccinated: 167 Facility capacity: 150 Current census: 170
Employees Mentioned
NameTitleContext
David TamoGeneral ManagerMet with Licensing Program Analyst during inspection and discussed report.
Shaunte HenryLicensing Program AnalystConducted the inspection.
Nedra BrownLicensing Program ManagerNamed in report header.

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