Complaint Investigation Report

331800469-3-26-2025-56-AS-KCLS-DFQQUA-20250414122825

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

03/24/2025 and conducted by Evaluator Becky Mann

COMPLAINT CONTROL NUMBER: 56-AS-20250324103514

Staff did not ensure resident was taken to the hospital

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Umeka Foster, Facility Manager and explained the purpose of the visit. The investigation consisted of LPA pertinent record reviews, observations, interviews with staff and clients.

The allegation that staff did not ensure resident was taken to the hospital. Two (2) staff interviewed stated that they do ensure that the resident is taken to the hospital. Two (2) clients interviewed stated that staff does take the client to the hospital.

Based on evidence obtained during this investigation, the allegation above is Unsubstantiated; meaning that although 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.

An exit interview was conducted where this report was discussed and a copy of this report was provided to Umeka Foster, Facility Manager at the conclusion of the visit.