Complaint Investigation Report

361881195-11-3-2023-56-AS-KCLS-CXJU2B-20231113141137

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

10/31/2023 and conducted by Evaluator Magda Malcore

COMPLAINT CONTROL NUMBER: 56-AS-20231031163004

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Administrator, Elizabeth Mahan and discussed the purpose of the visit.

Regarding the allegation, unlawful eviction, On 7/18/2023, the facility issued a thirty-day eviction notice to Resident #1 (R1) for unpaid rent. LPA reviewed the eviction notice which included key elements: reason for eviction, effective date, facility referrals, and a statement informing the resident of their right to file a complaint with the licensing agency and Ombudsman. During today's visit, LPA found that R1 is still residing at the facility.

Based on LPA observations, pertinent record review and interviews with relevant parties, the allegation is Unsubstantiated.

An exit interview was conducted were this report was discussed and a copy of this report with appeal rights was provided to the Administrator at the conclusion of the visit.