Aqua Ridge Of Montclair

Allegation investigated: Facility is in disrepair

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding the above allegation. LPA Prieto met with Barrera and explained the elements of the complaint. LPA toured the Assisted Living area, dinning room, library and other common areas. LPA also toured the facility Memory Care Unit ward and found all to be clean, sanitary and in good repair. LPA did not observe any unsafe environmental conditions that may pose a risk to resident's safety. Based on the information obtained there is not enough evidence that the facility is in disrepair. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report signed by LPA Prieto and Mr Barrera and a copy was left with the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 4, 2026 · control 56-AS-20260416143854

Allegation investigated: Resident sustained 1st and 2nd degree burns due to lack of supervision

On 04/29/2026 at 9:15 AM, Licensing Program Analyst (LPA), Eldin Serrano, visited the facility to deliver the investigative findings for the above allegation. LPA Serrano identified himself and discussed the purpose of the visit with Executive Director Monique Del Junco. Allegation: – Resident sustained 1st and 2nd degree burns due to lack of supervision It was alleged that resident #1 (R1) sustained first and second-degree burns due to lack of supervision by facility staff. The Department investigation consisted of review of facility records, hospital records, and police reports, as well as interviews with outside parties. The Department was unable to interview R1. Medical records reviewed during the investigation indicated no signs or symptoms of abuse. The hospital discharge diagnosis identified the resident’s condition as a first-degree sunburn to the bilateral lower extremities with cellulitis, along with leg pain and swelling. Based on the information obtained, there is insufficithe state’s words, verbatim · CDSS document, Apr 29, 2026 · control 56-AS-20250917164528

Allegation investigated: Questionable Death. Neglect/Lack of Care and Supervision -Resident developed pressure injury while in care due to staff neglect. Facility charged resident for a service they did not receive.

On 04/29/2026 at 9:15 AM, Licensing Program Analyst (LPA), Eldin Serrano, visited the facility to deliver the investigative findings for the above allegations. LPA Serrano identified himself and discussed the purpose of the visit with Executive Director Monique Del Junco. The Department investigated the above allegations, which included a review of facility records, medical documentation, and interviews with relevant parties. Allegation: Questionable Death It was alleged that facility staff mishandled Resident #1 (R1’s) medical emergency on 08/09/2025 after he reported feeling a pill stuck in his throat. It was alleged that staff provided inappropriate care, failed to recognize the severity of the condition, and delayed calling 911, resulting in the resident’s death. Records reviewed, including facility files and medical documentation, indicate that staff followed R1’s treatment orders and monitored their condition. Documentation shows that staff remained with R1, observed changes in cthe state’s words, verbatim · CDSS document, Apr 29, 2026 · control 56-AS-20250819104741

Allegation investigated: Staff are withholding resident's medication

On 4/16/2026 at 8:50 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegation. LPA met with executive director Monique Del Junco to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and resident as well as facility observation. Allegation: Staff are withholding resident's medication – Based on record review and interview with resident# 1(R1) and staff. It was revealed that facility doesn’t have any medication to administer to R1 because the pharmacy has not refiled R1’s medication for nonpayment from the healthcare provider. The staff offered to send R1 to the hospital to get temporary supply of medication until the resident can sort out the medical insurance issue but R1 refused because R1 thought R1 has to pay money to the hospital. LPA was unable to corroborate the allegation. Based on the evidence, the allegation mentioned abothe state’s words, verbatim · CDSS document, Apr 16, 2026 · control 56-AS-20260413162054

Allegation investigated: Staff does not accord resident privacy.

On March 9, 2026 at 8:55AM, Licensing Program Analysts (LPA) Eldin Serrano visited the facility to investigate the above-mentioned allegation and deliver findings. LPA met with Administrator Monique Del Junco to discuss the purpose of the visit. The investigation consisted of file review, interviewing relevant parties as well as observation. The allegation indicates that staff does not accord resident privacy. – Based on interviews with relevant parties and observation, it was confirmed that client #1 (C1) has a camera on C1’s room that record video and audio. Audio recording is prohibited by regulation. By allowing the camera’s audio function, the facility violated the resident’s right to personal privacy. Based on interviews, the preponderance of evidence standard has been met, therefore, the allegations are substantiated under the California Code of Regulations (Title 22, Division 6 Chapter 8). An exit interview was conducted where this report, LIC9099, LIC9099D along with appeal rithe state’s words, verbatim · CDSS document, Mar 9, 2026 · control 56-AS-20260226100831

Allegation investigated: Staff do not provide adequate care and supervision to the residents. Staff do not keep the facility free from bugs. Staff do not properly maintain the facility. Staff are not properly trained.

Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Resident Services Director Jonnathan Rios and explained the purpose of the visit regarding the allegations listed above. First allegation: Staff do not provide adequate care and supervision to the residents. Regarding the allegation stated above LPA conducted a walkthrough of the facility memory care unit (MC), LPA inspected 13 out of 15 rooms during the inspection LPA observed a mattress to be soiled with feces along with urine. LPA conducted an interview with S#1 regarding the condition of resident’s mattress. S#1 informed LPA that R#1 still utilizes the mattress under its condition. In addition, S#1 informed LPA that family provides the mattress and family is aware of the condition of the mattress. LPA conducted a record review of R#1 physician’s report during record review LPA discovered based on Resident #1 Physical Health Status that R#1 does not have athe state’s words, verbatim · CDSS document, Dec 16, 2025 · control 56-AS-20240815093125

Allegation investigated: Staff do not properly safeguard the facility grounds Staff do not ensure the residents are being changed Staff are mishandling the residents medications Staff do not meet the minimum qualifications required Staff are not properly trained Staff are not following proper food handling techniques Staff do not provide adequate care and supervision Staff do not meet the residents bathing needs Staff do not keep the facility free from infestation

On 10/02/2025 at 2:45 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA Serrano met with Resident Care Director Jonnathan Rios to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation #1: Staff do not properly safeguard the facility grounds – Based on LPA's observation and upon touring of the facility, LPA did not find any evidence of broken windows for the alleged multiple break-ins at the facility. The facility is in good repair and has found no issues. Allegation #2: Staff do not ensure the residents are being changed - Based on interviews with staff and residents, it was revealed that the residents’ diapers were being changed as needed. It was also revealed that if the residents are independent and if they need assistance with changing their diapers the staff ithe state’s words, verbatim · CDSS document, Oct 2, 2025 · control 56-AS-20250904133849

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 do not administer resident's medications as prescribed.

On 6/18/2025 at 1:05 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with Executive Director Monique Del Junco to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staffs and residents as well as facility observation. Allegation: Staff do not administer resident's medications as prescribed. – Based on interview and record review, 4 out 4 residents and 2 out 2 staff stated that the residents medication were administered as prescribed. Resident #1 (R1) stated that R1's medication is administered as prescribed. R1 just want a copy of her medication list. Information received during investigation did not corroborate with the allegation. During the investigation, LPA did not find evidence to corroborate the allegations. *** Continuation in LIC9099C *** Unfoundedthe state’s words, verbatim · CDSS document, Jun 18, 2025 · control 56-AS-20250617170110

Allegation investigated: Resident's medication was not administered

On 04/11/2025 at 1:00PM Licensing Program Analyst, Renese Howell-Small, (LPA) arrived at the Aqua Ridge of Montclair unannounced to deliver findings for the complaint investigation into the allegations listed above. LPA met with Administrator, Monique Del Junco; introduced self and stated purpose of the visit. The investigation consisted of interviews and record review. The fourth allegation alleged that the resident’s medication was not administered. The Medication Administration Record (MAR) dated 04/01/2022 indicates that the water pill was a PRN and to be given once daily as needed for edema. According to the MAR, the resident was given the water pill on 04/24/2022 to 04/27/2022 at 8:00AM. The Physician’s Order indicates that the water pill was to be given every morning with a start date of 04/01/2022. The Administrator could not provide further documentation to support that the water pill was to be given as a PRN. Based upon interviews and record review, this allegation is SUBSTANthe state’s words, verbatim · CDSS document, Apr 11, 2025 · control 56-AS-20220425105127

Allegation investigated: Staff do not answer residents calls for assistance timely

Licensing Program Analyst (LPA) Javier Prieto arrived at the facility to investigate the complaint mentioned above. LPA Prieto met with Executive Director Del Junco and explained the details of the complaint. Regarding the allegation that staff do not answer residents' calls for assistance in a timely manner, LPA Prieto toured the Memory Care Unit, the ward relevant to this complaint, and reviewed recent pull cord call records. The records show that the average response time to pull cord calls is 7 minutes. The ward is adequately staffed, with a 3 to 1 ratio of caregivers to the 24 residents. LPA Prieto observed residents grouped together to ensure better monitoring. All residents receive care from medical technicians three times a day and have individualized care plans that address continence care, bathing, and room cleaning. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 30, 2025 · control 56-AS-20250124135935

Allegation investigated: Staff caused injury to resident in care Staff did not ensure resident's room was kept clean Staff falsified resident records Staff consume alcohol while on shift

On 1/03/2024 at 10:35 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegation. LPA met with Executive Director Monique Del Junco and explained the purpose of the visit. The investigation consisted of file reviews, interviews with facility staffs and residents as well as observation. Allegation: Staff caused injury to resident in care. Based on interviews conducted with 7 out of 7 residents and 7 out 7 staff all stated that they have not witness/observed or have knowledge of any staff causing injury to residents in care. Interviews with 3 out 7 residents stated that they are being taken care of and the staff are very kind and nice to them. *** Continuation in LIC9099C *** Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 3, 2025 · control 56-AS-20241213123255

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 do not respond to requests for assistance in a timely manner. Licensee is not ensuring that the facility has enough staff to meet the care needs of residents in care.

On November 8, 2024, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez visited the facility to investigate the mentioned allegations and deliver findings. LPA met with Executive Director (ED) Monique Del Junco to discuss the purpose of the visit. The investigation consisted of reviewing of files and interviewing relevant parties. The first allegation indicates that Staff do not respond to requests for assistance in a timely manner. Interviews with 5 residents revealed that more staff are needed because the response time was inconsistent. Interviews with five staff members revealed that more staff are needed, especially during the night shift and weekends. Staff mentioned that response times vary based on the need and if they are assisting residents who require more help. Staff also mentioned that when they are busy, response times can range from 30 to 45 minutes, which poses a health and safety risk to residents in care. *** Continuation in LIC9099C *** Substantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2024 · control 56-AS-20240910171129

Allegation investigated: Staff did not follow medication orders as prescribed Due to staff neglect, resident developed a pressure injury Staff did not ensure residents room was clean Staff did not ensure residents hygiene needs were met Staff did not ensure residents laundry was done timely Due to lack of staff, medications were not administered timely

On 11/08/2024 at 09:00 AM, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez made an unannounced visit to the facility to deliver the findings of the above allegation. LPAs met with Executive Director Monique Del Junco and explained the purpose of the visit. The investigation consisted of file reviews, interviews with facility staffs and residents as well as observation. Allegation: Staff did not follow medication orders as prescribed. Based on interviews conducted with 3 out of 5 residents they all stated that their medications are given as prescribed. Two (2) of the 5 residents were nonverbal and unable to communicate. Five staff persons were interviewed and 4 out of 5 reported that the medications are given as prescribed. One (1) staff person reported not having knowledge if medication was given as prescribed as they do not handle medications. *** Continuation in LIC9099C *** Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2024 · control 56-AS-20240910102504

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 do not allow residents to have visitors.

On 06/10/2024 at 09:00 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to commence a complaint investigation as well as to deliver findings for the allegation listed above. LPA Brown met with Resident Care Director Jonathan Rios. Executive Director (ED) Monique del Junco was contacted and arrived during the visit. The investigation consisted of file review, interviews with staffs, and residents as well as observation. The investigation was conducted by LPA Melody Brown. The investigation consisted of file review, observation and interviews with relevant parties. The allegation indicates Staff do not allow residents to have visitors. Based on interviews, observations and records review conducted, LPA Brown cannot find evidence to corroborate the allegation. Interviews with eight (8) of eight (8) residents indicated that staffs at the facility are allowing them to have visitors all the time and there's no incident at the facility that a staff did not allow resithe state’s words, verbatim · CDSS document, Jun 10, 2024 · control 56-AS-20240603083339

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