Complaint Investigation Report

361881045-1-25-2026-56-AS-KCLS-DQRTTC-20260128140030

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

06/27/2024 and conducted by Evaluator Raquel Hernandez

COMPLAINT CONTROL NUMBER: 56-AS-20240627120252

Staff did not keep facility free of insects.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the purpose of delivering findings for the above allegation. LPA met with House Manager Jay Ruba and explained today's visit.

For the allegation, Staff did not keep facility free of insects. LPA Hernandez toured the interior and exterior areas of the facility and did not observe any insects or infestation. LPA inspected (4) client's bedrooms and bedding and did not observe any insects or bed bugs. LPA received documentation of pest control services.

Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and this report (LIC9099) were discussed and provided to House Manager Jay Ruba.