336426688-5-21-2024-56-AS-KCLS-D5SUUT-20240531155404

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426688
Report Date: 05/21/2024
Date Signed: 05/21/2024 11:48:26 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/17/2024 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240417085129

FACILITY NAME:	HEARTLAND MANOR		FACILITY NUMBER:	336426688
ADMINISTRATOR:	AHMED QASIM		FACILITY TYPE:	740
ADDRESS:	178 W. PENDLETON ROAD		TELEPHONE:	(951) 849-7750
CITY:	BANNING	STATE: CA	ZIP CODE:	92220
CAPACITY:	22	CENSUS: 16	DATE:	05/21/2024
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Amirr Younes - Manager		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are allowing residents to use a felony drug while in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Amirr Younes, Manager, and discussed the purpose of the visit.

Regarding the allegation, staff are allowing residents to use a felony drug while in care, four (4) staff and seven (7) residents interviewed deny that staff allow residents to use felony drugs while in care.

Based on LPA observations, pertinent record review and interviews with relevant parties, the allegation is Unsubstantiated. A finding of Unsubstantiated means that although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed and a copy with Appeal Rights was provided to Manager Younes at the conclusion of the visit.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 1