Complaint Investigation Report

336426839-2-11-2026-56-AS-EMAN-DU8VRS-20260519164025

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BERNARDINO ASC , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/09/2026 and conducted by Evaluator Raquel Hernandez

COMPLAINT CONTROL NUMBER: 56-AS-20260109134714

Licensee is not ensuring that personnel records accurately reflect the hours personnel actually worked.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unnanounced visit to deliver findings for above allegations. LPA met with Administrator Jordan Rush and explained today's visit.

On 01/09/2026, the department received a complaint regarding personnel records not reflecting hours personnel actually worked. Upon visit on 01/14/2026, LPA observed (1) staff working with (4) clients in care. LPA reviewed staff schedule which indicated facility staff scheduled were (2). Based on record review and observations, the licensee did not ensure facility staff schedule accurately reflected staff working.

Based on the evidence gathered during today’s investigation, the allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because the preponderance of evidence the standard has been met. During today’s visit, a deficiency was cited/issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and (LIC9099D) was discussed and provided to Administrator Jordan Rush.