Complaint Investigation Report

366425610-12-2-2025-56-AS-KCLS-DPV6VR-20251230200911

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

11/26/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20251126131126

Staff does not treat residents with dignity or respect

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 Dorris Anderson, and discussed the purpose of the visit.

Regarding allegation above, LPA interviewed two (2) staff; both whom agreed they treat residents with dignity and respect.

LPA interviewed five (5) residents, one (1) of the five (5) residents informed LPA they are treated with dignity and respect, four (4) of the five (5) residents were unable to provide LPA with detailed information due to their health conditions. Therefore, the allegation above is Unsubstantiated.

An Unsubstantiated complaint means, that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Caregiver Myrna Jackson and a copy of this report was provided at the conclusion of the visit.