Complaint Investigation Report

366425627-4-16-2026-56-AS-KCLS-DU3VKZ-20260514163110

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

04/10/2026 and conducted by Evaluator Eldin Serrano

COMPLAINT CONTROL NUMBER: 56-AS-20260410161243

On 4/16/2026, Licensing Program Analysts (LPA) Eldin Serrano visited the facility to investigate the above-mentioned allegation and deliver findings. LPA met with Administrator Neil Consuelo to discuss the purpose of the visit. The investigation consisted of interviewing relevant parties, and file review.

Regarding the allegation of “Unlawful eviction” it was reported that Client #1 (C1) was issued a thirty (30) day eviction notice on 4/6/2026. During the course of the investigation, an interview conducted with Administrator revealed that a thirty (30) day eviction notice was provided to C1’s family and placement agency on 4/6/2026. The licensee did not provide the eviction notification to this Department regarding C1’s eviction within the required timeframe. Additionally, the licensee confirmed during interview that the Department was not notified of the eviction.

Based on record review and interviews conducted, the licensee failed to notify the Department within five (5) days of issuing the eviction notice, as required. Therefore, the allegation is SUBSTANTIATED.

An exit interview was conducted, where this report, LIC9099, LIC9099D along with appeal rights, were provided to the administrator Neil Consuelo.