Complaint Investigation Report

331880898-6-27-2023-18-AS-JESL-CU8RYN-20230730132638

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE 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

06/20/2023 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20230620170339

Licensee allowed minor to provide care and supervision to residents in the facility alone.

On 6/27/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegations. LPA met with Licensee, Tyla Kincherlow and explained the purpose of the visit. At the time of visit, LPA interviewed staff, residents and witness.

Regarding the allegation, “Licensee allowed minor to provide care and supervision to residents in the facility alone”, it was alleged a minor was allowed to provide care and supervision to resident alone for an extended period of time. LPA interviewed residents who denied hearing or seeing a minor provide care and supervision to residents. LPA interviewed Licensee who denied hiring a minor or leaving a minor alone at the facility to provide care and supervision to residents. LPA interviewed witness who denied seeing a minor providing care and supervision to residents at the facility.

Based on LPA’s interviews with staff, residents and witness, there is not enough evidence to support the above allegation. Athough the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Tyla Kincherlow.