Complaint Investigation Report

361880994-12-19-2025-56-AS-NBRN-DQT2AR-20260129161357

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

12/02/2025 and conducted by Evaluator Becky Mann

COMPLAINT CONTROL NUMBER: 56-AS-20251202095811

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Kory Medina, Assistant Administrator and discussed the purpose of the visit. The investigation consisted of LPA observations, pertinent record reviews and interviews with staff and clients.

The allegation that staff handled client in a rough manner. LPA interviewed five (5) staff and they denied handling a client in a rough manner. The five (5) staff have not witnessed a client being handled in a rough manner. Client #1 (C1) stated that they have not been handled in a rough manner by staff.

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 Kory Medina, Assistant Administrator at the conclusion of the visit.