Complaint Investigation Report

360902129-8-9-2024-56-AS-KCLS-D8JKS7-20240827080900

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

05/06/2024 and conducted by Evaluator Magda Malcore

COMPLAINT CONTROL NUMBER: 56-AS-20240506155415

Licensing Program Analysts (LPAs) Magda Malcore and Becky Mann conducted an unannounced visit to the facility to conclude the complaint investigation on the above allegation. LPAs met with Administrator, Melanie Niez, who was informed of today’s visit.

Regarding the allegation, staff hit resident, interviews with facility staff, resident #1(R1), and an outside party corroborate the allegation. Staff #1 admitted tapping R1 on the head during a disagreement. R1’s interview reveals they were hit on the head by S1. LPA record review and the Administrators’ interview reveals, S1 received a write-up and suspension for inappropriate conduct towards R1.

Based on interviews and record review, the allegation is Substantiated. A Substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where reports (LIC9099&LIC9099-D) were discussed and provided with appeal rights to the administrator at the conclusion of the visit