Complaint Investigation Report

366410678-6-16-2026-56-AS-NBRN-DW8TFB-20260722144117

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

06/15/2026 and conducted by Evaluator Eldin Serrano

COMPLAINT CONTROL NUMBER: 56-AS-20260615155154

Facility did not ensure that medication was inaccessible to client

On June 16, 2026, at 10:30 AM, Licensing Program Analyst (LPA) Eldin Serrano visited the facility to investigate the above-mentioned allegation and deliver findings. LPA met with Administrator Meljorie Castelo to discuss the purpose of the visit. The investigation consisted of file review, interviewing relevant parties as well as observation.

Allegation indicates that facility did not ensure that medication was inaccessible to client - Based on interviews with relevant parties, it was confirmed that Client #1 (C1) transported medication belonging to a caregiver on his wheelchair when he went to the day program. This confirms that the facility failed to ensure the medication remained inaccessible to the client, therefore the allegation is substantiated.

Based on interviews, the preponderance of evidence standard has been met, therefore, the allegation is substantiated under the California Code of Regulations (Title 22, Division 6 Chapter 8).

An exit interview was conducted where this report, LIC9099, LIC9099D along with appeal rights, was provided to the Administrator Meljorie Castelo.