Complaint Investigation Report

331881249-3-21-2025-56-AS-KCLS-DFXRUV-20250421132029

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BERNARDINO , 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

03/20/2025 and conducted by Evaluator Magda Malcore

COMPLAINT CONTROL NUMBER: 56-AS-20250320085514

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Licensee/Administrator, Antonia Jones and discussed the purpose for the visit.

Regarding the allegation, facility has no administrator, Licensee Jones stated she is current Licensee and Administrator for the facility.

Based on lack of evidence, LPA observations and interviews, the allegation is Unfounded. A finding that the complaint allegation is Unfounded means that the allegation was without a reasonable basis.

An exit interview was conducted where this report LIC9099 was discussed and a copy provided to Licensee/Administrator Jones at the conclusion of the visit.