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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336425525
Report Date: 06/02/2026
Date Signed: 06/02/2026 09:53:18 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/23/2024 and conducted by Evaluator Kelly Dulek
COMPLAINT CONTROL NUMBER: 18-AS-20240123161406
FACILITY NAME:SUNNY ROSE GLENFACILITY NUMBER:
336425525
ADMINISTRATOR:SALAS, DIANAFACILITY TYPE:
740
ADDRESS:29620 BRADLEY RDTELEPHONE:
(951) 679-3355
CITY:MENIFEESTATE: CAZIP CODE:
92586
CAPACITY:0CENSUS: 0DATE:
06/02/2026
UNANNOUNCEDTIME BEGAN:
08:54 AM
MET WITH:SUNNY ROSE GLEN LLC; MENIFEE ASSISTED LIVING LLCTIME COMPLETED:
09:53 AM
ALLEGATION(S):
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Staff grabbed resident's arm causing bruising
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kelly Dulek conducted a subsequent complaint visit with the purpose of delivering findings for the above listed allegation. The facility was closed effective 11/27/2024 due to a Change of Ownership. LPA attempted to call the Licensee representative but was unable to make contact.

On 01/30/2024, Licensing Program Analyst (LPA) Cheryl Goodrich conducted an initial complaint visit at the facility. During that visit, LPA Goodrich toured the facility, conducted staff interviews, resident interviews and obtained documents pertaining to the allegation. Throughout the course of the investigation, LPA Kelly Dulek reviewed all interview notes and available documents and attempted to contact relevant parties. The following was then determined:

Report Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20240123161406
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUNNY ROSE GLEN
FACILITY NUMBER: 336425525
VISIT DATE: 06/02/2026
NARRATIVE
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The complaint alleges that a staff member grabbed Resident #1 (R1) by the arm, causing bruising. Interview with R1 revealed they were going outside to smoke when Staff #1 (S1) had their arms around R1 and initially R1 thought S1 was trying to help them, but R1 was hurt. R1 stated their arm ended up with a bruise following this interaction. S1 denied the allegation stating they help the resident sit down, guide them as they sit, but has never grabbed anyone’s arm. S1 indicated that when R1 first moved in, R1 made accusations against S1 and ever since then, S1 limits their interactions with R1 unless there is an additional witness present. Interviews with staff and residents revealed R1 is verbally abusive, aggressive, and makes unreasonable demands. Often R1 was observed to be outside smoking with their oxygen tank and when staff attempt to verbally redirect R1 for their safety, R1 refused to comply. Staff reported documenting this behavior, however LPA Dulek was unable to obtain these records, as the facility is closed. R1’s roommate was moved out of their shared room, due to previous incidents between them and the roommate reported being afraid of R1. Another staff quit following an interaction with R1 when R1 was attempting to take the mattress out of the model room. R1 allegedly hit the staff multiple times during the incident. Residents and staff interviewed had never seen staff grab or be physically rough with R1 or any other resident, but reported R1 is often physically aggressive with others. No staff interviewed indicated they had observed bruising on R1’s arm around the time of the allegation. The information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

No citations issued. The facility closed effective 11/27/2024, therefore the report was sent to licensee’s address on record for signature.
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
LIC9099 (FAS) - (06/04)
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