Complaint Investigation Report

361800147-8-31-2023-56-AS-NBRN-CVSTQP-20230918145615

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BERNARDINO , 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

07/27/2023 and conducted by Evaluator Amber Coleman

COMPLAINT CONTROL NUMBER: 56-AS-20230727151227

Resident is being physically attacked by another resident in care.

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Montclair Royale unannounced to deliver the findings of the complaint investigation. LPA met with Araceli Soto, Care Coordinator to discuss elements of the complaint allegations.

It is alleged that Resident is being physically attacked by another resident in care. Staff interviewed denied the incident happened. LPA observed resident notes dated 07/01/23 that state R1 was bit by R2. Based on LPA observation, the allegation resident is being physically attacked by another resident in care is substantiated.