Complaint Investigation Report

331880822-4-30-2026-56-AS-KCLS-DUJTWF-20260529150526

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

04/22/2026 and conducted by Evaluator Andrew Martinez

COMPLAINT CONTROL NUMBER: 56-AS-20260422082110

Staff is not able to communicate with residents in care.

Regarding the second allegation - Staff is not able to communicate with residents in care: LPA observed S1 was unable to effectively communicate with residents regarding their needs, care, or supervision. LPA attempted to communicate with S1 regarding the allegations mentioned while asking basic questions related to care and supervision. S1 was unable to understand or respond to LPA’s questions in English. LPA made multiple attempts to communicate using simple and direct language; however, S1 was unable to demonstrate an understanding of the questions asked without using a translator application on their cellular device to communicate. S1 telephoned Administrator, Brandon Marquez-Gutierrez (S2), to inform them of LPA's arrival. LPA was informed by S2 that they and Licensee, Sandy Zhao (S3), were unanable to be present at the facility today. LPA's reqeuests had to be translated in Spanish by S2 to S1.

Based on investigation, the above allegation is SUBSTANTIATED. A SUBSTANTIATED finding is a finding defined as a violation that has occurred based on the preponderance of available evidence. An exit interview was conducted where this report LIC 9099A, LIC 9099D, and Appeal Rights were discussed and a copies were provided to Caregiver, Rosalimo Sarellano.