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
| Name | Title | Context |
|---|---|---|
| Usman Chaudary | Facility Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Paola Guerrero | Licensing Program Analyst | Conducted the inspection and signed the report |
| Efren Malagon | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Usman Chaudary | Administrator | Facility Administrator interviewed during investigation |
| Efren Malagon | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Usman Chaudary | Administrator | Facility Administrator met during inspection and named in report. |
| Paola Guerrero | Licensing Program Analyst | Conducted the inspection visit. |
| Efren Malagon | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Usman Chaudary | Facility General Manager | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Efren Malagon | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Mary Rico | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Usman Chaudary | Administrator | Interviewed 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
| Name | Title | Context |
|---|---|---|
| Mary Rico | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Usman Chaudary | Administrator | Facility 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
| Name | Title | Context |
|---|---|---|
| Venus Mixson | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on report |
| David Tamo | Administrator | Facility Administrator met during investigation |
| Usman Chaudary | Facility 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
| Name | Title | Context |
|---|---|---|
| Jeanane St. Louis | Business Office Director | Met during the visit and signed the report. |
| David Tamo | Administrator | Mentioned as unavailable to sign the amended LIC-9099-D document. |
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Karen Clemons | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| David Tamo | Administrator | Met with Licensing Program Analysts during the inspection and accompanied them on a tour of the facility. |
| Natalie Ibarra | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Paola Guerrero | Licensing Program Analyst | Conducted the inspection. |
| Efren Malagon | Licensing Program Manager | Named 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| David Tamo | Administrator | Named in findings related to refusal to allow resident return |
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation |
| Karen Clemons | Licensing Program Manager | Oversaw 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
| Name | Title | Context |
|---|---|---|
| David Tamo | General Manager | Met with Licensing Program Analyst during inspection and discussed report. |
| Shaunte Henry | Licensing Program Analyst | Conducted the inspection. |
| Nedra Brown | Licensing Program Manager | Named in report header. |
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