Senior Care Records.

Complaint Investigation Report

Mayberry House, the, Hemet10/31/2022Licence 336412341

Census3
Date signed10/31/2022 09:46:13 AM
The inspector’s account

336412341-10-31-2022-18-AS-EMAN-CLNQCY-20221130110355

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE AC/SC , 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

03/25/2021 and conducted by Evaluator Natalie Ibarra

COMPLAINT CONTROL NUMBER: 18-AS-20210325095525

Licensing Program Analysts (LPAs) Natalie Ibarra and Paola Guerrero conducted an unannounced visit to the facility to deliver findings for the above allegation. LPA met with House Manager Veda Hervey and explained the purpose of today’s visit. The investigation consisted of interviews with pertinent parties.

The allegation indicates personal rights. Interviews with Staff #3 (S3), Staff #4 (S5), Staff #5 (S5), and Staff #6 (S6) stated they have never witness Staff #2 (S2) push Client #1 (C1) aggressively nor any other clients in care. S4 and S5 stated S2 was great with C1. LPAs interviewed Consumer Program Liaison with Inland Regional Center (IRC) who stated IRC was unable to substantiate allegations due to there not being enough evidence.

Based on the information obtained, the allegations are UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies were cited during this visit.

An exit interview was conducted, and a copy of this report was provided to House Manager Veda Hervey.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction