Complaint Investigation Report

365530161-9-16-2025-56-AS-KCLS-DMRSCW-20251024134612

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

09/12/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20250912084123

Facility staff handled a resident in a rough manner

Facility staff spoke inappropriately to residents

Facility staff did not ensure facility was maintained clean

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPAs met with Administrator Eli Catacutan, and discussed the purpose of the visit.

Regarding Allegation #1, LPAs interviewed four (4) staff; all 4 staff have denied handling residents in a rough manner nor have they witnessed other staff handle residents in a rough manner. LPAs interviewed six (6) out of nine (9) residents, two (2) residents were sleeping and one (1) is non verbal. All 6 residents have informed LPAs staff do not handle residents in a rough manner, they are all treated nicely, respectfully, and professionally.

Regarding Allegation #2, LPAs interviewed four (4) staff; all 4 staff have denied speaking inappropriately to residents. LPAs interviewed 6 residents, all 6 have stated staff do not speak to them inappropriately nor have they seen or heard of staff speaking to fellow residents inappropriately.

Regarding Allegation #3, LPAs toured the facility and observed the facility to be clean and passageways are free of obstruction.

Based on LPAs observations, record review, and interviews, the above allegations are Unsubstantiated; meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and a copy was provided to Administrator Eli Catacutan at the conclusion of the visit.