Complaint Investigation Report

365530236-4-23-2026-56-AS-NBRN-DW2USH-20260716155019

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

04/20/2026 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20260420150228

Staff did not issue a refund for resident

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 Regina Chavez, and discussed the purpose of the visit.

LPA’s investigation revealed that R1 moved into The Hills of Stillman on 12/22/25. R1’s responsible party paid the admission fee covering 12/22/25 through 12/31/25, as well as the full month of January 2026. R1 passed away on 01/09/26, and R1’s responsible parties retrieved R1’s belongings the same day. For several months, R1’s responsible party has attempted to contact the Licensee regarding a prorated refund for the period of 01/09/26 through 01/31/26, but has not received a response.

Based on the evidence gathered during the investigation, the above allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where this report LIC 9099 and LIC 9099D and Appeal Rights were discussed, and a copy was provided to Administrator .