Complaint Investigation Report

361880517-3-18-2025-56-AS-KCLS-DFMRTS-20250411131850

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

03/13/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20250313151448

Staff do not ensure a fire safety measure is being followed

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 Aministrator Marsie Marcos, and discussed the purpose of the visit.

LPA observed a smoke alarm detached from its mount. Although the smoke alarm is detached from its mount, it is functional. LPA proceeded to test another smoke alarm in facility hallway as well as facility’s carbon monoxide detector, both of which were found to be in proper working order.

Based on the evidence gathered, the allegation is deemed UNFOUNDED. A finding that the complaint allegation is UNFOUNDED means that the allegation was without a reasonable basis. Therefore, the allegation dismissed. An exit interview was conducted where this report LIC9099 was discussed and provided to Administrator Marsie Marcos.