Complaint Investigation Report

366403577-10-27-2025-56-AS-KCLS-DNAUD9-20251110142909

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

10/22/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20251022155511

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Judy Swanson, and discussed the purpose of the visit.

Regarding the illegal eviction allegation, staff informed LPA an eviction notice was issued for Resident #1 (R1) last year on 7/18/24. Staff stated R1's care could no longer be met by staff due to the family requesting 1:1 care. Staff informed LPA the original eviction letter on 7/18/24 was revoked, however a verbal notice was issued again to R1's family and gave the family until 12/21/25 to remove R1. LPA explained to Administrator a formal eviction notice per regulation needs to be issued to R1 responsible parties.

Based on the evidence gathered during the investigation, the above allegation is Substantiated.

A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Title 22 regulations, Eviction Procedures 87224(a)(2) from division 6, chapter, article 6, is being cited on the attached LIC 9099 D.

An exit interview was conducted where this report was discussed along with LIC 9099D, a copy was provided, along with a copy of the appeal rights to Administrator Judy Swanson.