Complaint Investigation Report

360900455-1-16-2025-56-AS-KCLS-DDBV3Q-20250127150505

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

01/14/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20250114091007

Facility staff did not seek timely medical attention for resident in care

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 Jessica Ramos, and discussed the purpose of the visit.

Regarding the allegation above, LPA’s record review and interviews reveals, R1 lives on the skilled nursing side of the facility.

Based on LPA record review and interviews the above allegation is Unfounded. An Unfounded finding means, the allegation is false, could not have happened, and/or is without a reasonable basis.

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