Complaint Investigation Report

361880989-2-25-2025-56-AS-KCLS-DEZM7T-20250322092205

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

02/24/2025 and conducted by Evaluator Becky Mann

COMPLAINT CONTROL NUMBER: 56-AS-20250224104321

Andrea Limon, Registered Behavior Tech (RBT)

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Andrea Limon, Registered Behavior Tech (RBT) and discussed the purpose of the visit. The investigation consisted of LPA pertinent record review and interviews with staff and residents.

The allegation that staff hit resident, five (5) staff interviewed denied hitting resident. Staff # 2 (S2) stated that during the incident, Staff #1 (S1) did not hit resident. Interviews with two (2) residents reveal not enough evidence to corroborate the allegation.

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 the Andrea Limon, (RBT) at the conclusion of the visit.