Complaint Investigation Report

366411220-3-27-2026-56-AS-KCLS-DT8LPM-20260417085608

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

03/20/2026 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20260320094600

Staff inappropriately transported resident

Licensing Program Analysts (LPAs) Sarina Ramirez and Andrew Martinez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPAs met with Caregiver Iris Supnep, and discussed the purpose of the visit.

Regarding the allegation that staff inappropriately transported a resident, the LPAs conducted interviews with Resident #1 (R1), staff, and outside parties, and reviewed relevant documentation. All three (3) staff interviewed confirmed that per R1’s request, R1 was transported safely and appropriately. R1 also confirmed hiring a third party car service to transport them to their former residence to retrieve personal belongings, and stated that the transport was safe and appropriate.

Based on the information obtained, there is insufficient evidence to coorborate the allegation, and therefore the allegation above is Unsubstantiated. An Unsubstantiated complaint means, that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with Administrator Richard Contreras and a copy of this report was provided at the conclusion of the visit.