Pico De Loro

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident being overcharged for services

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Licensee, Efren Rilo, who was informed of the purpose of the visit. During the visit, LPA conducted interviews, documented observations/conducted a walk through, and conducted records review. It was alleged “Resident being overcharged for services”. It was alleged that Resident #1 (R1) was being overcharged for services by the facility applying R1’s personal and Incidental funds (P and I) to pay for R1’s owed rental amount. The Department conducted an audit, interviews, and records review. Substantiatedthe state’s words, verbatim · CDSS document, Oct 3, 2025 · control 18-AS-20250513170142

Allegation investigated: Staff refused to accept resident back into the facility.

On August 10, 2025, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent unannounced complaint visit. Administrator Genessis Garcia greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegation mentioned above. The investigation included interviews, a collection of records, and a tour of the facility. Interviews were conducted with Resident #1 to Resident #7, Staff #1 through Staff #6 (S1-S6), and Witness #1 (W1). The Department reviewed several documents, including the Register of Facility Residents LIC 9020 (dated 07/14/25), the Personnel Report LIC 500 (dated 07/01/25) and Resident #1 (R1)'s Physicians Report LIC 624A (dated 12/10/22), Residential Care for Elderly Admission Agreement (dated 12/09/22), Identification and Emergency Information LIC 601 (dated 12/09/22), Narrative Charting (dated 02/10/23 through 02/15/23) and telecommunications messages datthe state’s words, verbatim · CDSS document, Aug 10, 2025 · control 18-AS-20230216085532

Allegation investigated: Staff forged a confidential document for a resident. Staff are financially abusing a resident while in care.

On August 10, 2025, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent unannounced complaint visit. Administrator Genessis Garcia greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegations mentioned above. The investigation included interviews, a collection of records, and a tour of the facility on November 11, 2023, August 09, 2025, and August 10, 2025. Interviews were conducted with Resident #1 to Resident #7, Staff #1 through Staff #6 (S1-S6). The Department reviewed several documents, including the Register of Facility Residents LIC 9020 (dated 07/14/25), the Personnel Report LIC 500 (dated 07/01/25) and Resident #1 (R1)'s Physicians Report LIC 624A (dated 09/19/24 & 01/05/23), In Service/Meeting Training(dated 06/08/25), and as well as other pertinent records associated with this complaint. (Evaluation Report continues LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 10, 2025 · control 18-AS-20231020110520

Allegation investigated: Resident sustained unexplained bruising while in care.

On 08/10/2025, Licensing Program Analyst (LPA) Antonine Richard conducted a subsequent complaint visit to the facility above. LPA met with the Administrator Genessis Garcia, and the purpose of the visit was to deliver findings. On 08/09/2025, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced visit to the facility to initiate a complaint investigation into the allegation above. LPA met with the Administrators Vivien Rillo and Genessis Garcia, and the purpose of the visit was explained. The investigation included the following: On 08/09/2025, LPA obtained the staff and residents roster (dated 07/01/2025), Resident #1's records, Face sheet. The investigation also reviewed the admission agreement (dated 02/09/2016), Physician Report (dated 05/31/2022), Preplacement Appraisal Information, Appraisal/Needs and Services Plan (dated 04/01/2023), Medication Administration Records.Unusual Incident/Injury report (dated 06/06/2022). The LPA conducted six staff and seven resithe state’s words, verbatim · CDSS document, Aug 10, 2025 · control 18-AS-20220607081916

Allegation investigated: Staff member hit resident in care. Staff member threatened resident in care. Staff member handled resident in care in a rough manner. Staff member yelled at resident in care. Staff member did not treat resident in care with dignity. Staff member did not ensure that resident in care had access to clean linens.

On August 10, 2025, the California Department of Social Services Community Care Licensing (CDSS/CCL) staff conducted a subsequent complaint visit to continue investigation and to deliver findings. The Department met with Administrator Genesis Garcia who assisted with this visit. Investigation consisted of: On May 13.2024, the Department conducted an initial complaint visit and determined that this investigation required further inquiry and possible additional visits and/or phone calls may be necessary to determine findings. On 7/23/25, the Department obtained (via email) and reviewed the following documents: Staff roster (dated 7/1/25), Resident Roster (dated 7/7/25), R1’s Pre-placement appraisal (dated 1/18/24) R1’s Physician’s report for RCFE (dated 2/24/25, Medical Progress notes (dated 5/8/24) Internal investigation notes-- written statements (dated 5/7/24, 5/1/24) Incident Report/SOC341 (dated 5/7/25), Appraisal/Needs and Services Plan (dated 2/11/2024) and staff training on residthe state’s words, verbatim · CDSS document, Aug 10, 2025 · control 18-AS-20240507145414

Allegation investigated: Staff did not prevent resident from being injured by another resident. Facility staff did not ensure resident's furniture was in good repair.

On 08/10/25, Licensing Program Analyst (LPA) Antonine Richard conducted a subsequent complaints investigation into the allegations above to deliver findings. LPA met with the staff, and the purpose of the visit was explained. LPA toured the facility and inspected six residents' rooms. The investigation consisted of the following: On July 29, 2025, LPA obtained the staff and resident roster (dated July 14, 2025), Resident #1's records, and the Face sheet. The investigation also reviewed the admission agreement (dated December 14, 2022), Physician Report (dated December 14, 2022), Preplacement Appraisal Information, Appraisal/Needs and Services Plan (dated December 26, 2022), Medication Administration Records, and Unusual Incident/Injury Reports (dated December 18, 2022, January 11, 2023, and February 21, 2023). On 07/29/25, LPA obtained the Riverside County Sheriff’s Department Report Case# PE223520058, dated 12/19/22. The Riverside University Health System R1 visit occurred on 12/18/22the state’s words, verbatim · CDSS document, Aug 10, 2025 · control 18-AS-20230103131101

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not prevent resident from getting injured while in care

On July 23, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced and met with Administrator, Genessis Garcia. LPA explained the reason for the visit was to provide findings for the allegation listed above. On March 28. 2024, Community Care Licensing received a complaint alleging staff did not prevent resident from getting injured while in care. During the investigation, LPA conducted interviews, record reviews, and made observations. It was reported Resident #1 (R1) had a bruise on their eye and bruising on their hand. Additionally, it was reported the facility staff did not know how it occurred but advised R1’s roommate can be aggressive and may have hit R1. Information obtained from interview with Administrator stated R1 had bruises on their hand, but did not have a bruised eye. Administrator also denied that the bruises did not come from being hit by R2 because R2 is on hospice and require full assistance to transfer from bed to chair. Informationthe state’s words, verbatim · CDSS document, Jul 23, 2025 · control 18-AS-20240328100409

Allegation investigated: Administrator is not on the premises a sufficient number of hours to permit adequate attention to the facility Facility did not ensure that there were sufficient staff on the premises to assist and monitor residents

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Administrator, Yamberly Genesis Garcia, and Licensee Viven Rilo over the phone who were informed of the purpose of the visit. During the visit, LPA conducted interviews, conducted a walk through, and conducted records review. It was alleged that "Administrator is not on the premises a sufficient number of hours to permit adequate attention to the facility." It was alleged Staff #1 (S1) who was the administrator of the facility in May of 2024 was not present at the facility to allow visitors into the facility. It was alleged on several visits S1 was not present at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 14, 2025 · control 18-AS-20240522141952

Allegation investigated: Staff are disclosing personal information about the residents

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced to the facility in order to conduct an investigation into the above allegation. LPA met with Administrator, Yamberly Genesis Garcia and spoke with Licensee Viven Rilo over the phone who were informed on the purpose of the visit. LPA conducted interviews and records review. It was alleged "Staff are disclosing personal information about the residents." It was alleged staff speak to others about Resident #1 (R1)'s personal information including those who was not R1's legal representative. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 14, 2025 · control 18-AS-20250512145014

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff sexually assualted resident

Licensing Program Analyst (LPA), Yolanda Delgado made an unannounced visit to the facility to investigate a complaint investigation into the allegation listed above. During the investigation, LPA conducted interviews and reviewed documents pertaining to the allegation. It was alleged staff sexually assaulted resident on the night of June 17, 2024, “inserted gauze into their rectal cavity 10 to 15 times”. Interviews with facility staff and Reporting party revealed R1 was hospitalized from June 16th through June 18, 2024. The LPA interviewed R1 and R1 denied that they were sexually assaulted while hospitalized. LPA also reviewed R1’s admitting documents and discharge documents from the hospital to corroborate the time frame of R1’s hospitalization and no facility staff could not have sexually assaulted R1 at the facility as R1 was hospitalized when the allegation was made. This agency has investigated the complaint alleging "staff sexually assaulted resident". We have found that the compthe state’s words, verbatim · CDSS document, Jun 20, 2024 · control 18-AS-20240619112634

Allegation investigated: Staff did not conduct a preadmissions assessment

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to deliver findings regarding the allegation listed above. LPA was granted entry and met with Administrative Assistant Yamberly Genesis Garcia, who was Informed of the purpose of the visit. Regarding the allegation “Staff did not conduct a preadmissions assessment”, it was alleged Administrator Efren Rillo did not conduct a preadmissions assessment for Resident One (R1) that reflects R1's level of care. R1 was admitted to the facility on 04/24/2014. R1's Resident Appraisal form was signed and dated on 04/25/2014 revealing prior to R1's admission, a determination of the prospective resident's suitability for admission and appraisal of R1's individual service needs, feeding, toileting, transferring, and grooming was not completed. Based on records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations (Title 22, Dthe state’s words, verbatim · CDSS document, May 15, 2024 · control 18-AS-20240305095021

Allegation investigated: Staff left residents alone without adequate supervision Staff did not keep the facility clean or sanitary Staff did not ensure that residents were adequately fed

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Administrator, Efren Rillo who was informed of the purpose of the visit. During the visit, LPA conducted interviews, documented observations, and conducted records reviews. It was alleged that "Staff left residents alone without adequate supervision", and there was no staff at the facility. It was alleged that on 4/22/2024 at 10:30am there were no staff at the facility. LPA conducted a records review of the staff schedule for Monday 4/22/2024 and found there were (9) staff working at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 26, 2024 · control 18-AS-20240422165732

Allegation investigated: Staff did not provide responsible party 60 day notice of fee increases

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to deliver findings regarding the allegation listed above. LPA was granted entry and met with Administrative Assistant Yamberly Genesis Garcia, who was Informed of the purpose of the visit. Regarding the allegation “Staff did not provide responsible party 60-day notice of fee increases”, it was alleged a verbal, not written, notice was given to Resident 1 (R1) and/or their Power of Attorney (POA) regarding an increase in the monthly rate for R1. Interview with Administrator (AD) Efren Rillo revealed an increase in the level of care was needed for R1, and their monthly rate was adjusted to reflect the increase. AD Rillo also revealed he only provided a verbal notice concerning the increased rate. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division 6), are being cited onthe state’s words, verbatim · CDSS document, Mar 21, 2024 · control 18-AS-20240305095021

Allegation investigated: Staff are barricading the residents while in care

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to the facility to investigate and deliver findings to the above allegation. LPA was granted entry and met with Administrator Efren Rillo. Regarding the allegation "Staff are barricading the residents while in care" LPA conducted staff and resident interviews that do not corroborate the allegation listed above. Resident interviews revealed they do not feel that they are barricaded while in care at the facility and can leave to go out to the community if needed. Interviews with Staff interviews reveal residents are able to go out into the community if they are physically and mentally capable. LPA conducted a tour of the facility and observed and inspected the exit doors leading outside the facility. The facility doors were unlocked and residents had access to the courtyard and shaded seating area outside. LPA noticed a gate along the outside perimeter that was locked. LPA observed the front door of the facilitythe state’s words, verbatim · CDSS document, Nov 13, 2023 · control 18-AS-20231020110520

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.