Senior Care Records.

Facility Evaluation Report

Specialized Residential Lupine, Apple Valley08/15/2023Licence 366425780

Capacity4
Census4
Date signed08/15/2023 09:22:13 AM
The inspector’s account

Licensing Program Analyst (LPA) Rayshaun Nickolas met with Administrator LaWanna Jones in the Riverside/San Bernardino Regional Office for a case management-deficiency visit.

While investigating complaint control number 56-AS-20230731160443, LPA Nickolas discovered that staff #1 (S1) admitted to yelling at resident #1 (R1) on Thanksgiving Day.

Based on the information provided, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations (CCR). An exit interview was conducted, and a copy of this report (LIC 809), LIC 809D, and Appeal Rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction