Complaint Investigation Report

366426422-3-26-2025-56-AS-KCLS-DG3UPN-20250425154545

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

02/20/2025 and conducted by Evaluator Becky Mann

COMPLAINT CONTROL NUMBER: 56-AS-20250220091434

Staff did not ensure care needs of resident were being met

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Schamone Bard, Executive Director and explained the purpose of the visit. The investigation consisted of LPA observations, record reviews, interviews with staff and residents.

The allegation that staff did not ensure care needs of resident were being met. The five (5) residents interviewed stated that the staff does ensure the care needs of residents are being met. The seven (7) staff interviewed stated that they do ensure the care needs of the residents are being met.

Based on the evidence obtained during the investigation, the above allegations are Unsubstantiated; meaning 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 where this report LIC9099 was discussed and provided to Schamone Bard, Executive Director.