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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426771
Report Date: 06/04/2025
Date Signed: 06/04/2025 02:42:51 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 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
03/03/2021 and conducted by Evaluator Eldin Serrano
COMPLAINT CONTROL NUMBER: 18-AS-20210303143604
FACILITY NAME:ACCURO HOMESFACILITY NUMBER:
336426771
ADMINISTRATOR:LESLEY VANNOYFACILITY TYPE:
740
ADDRESS:6764 BLACK FOREST DRIVETELEPHONE:
(951) 479-5260
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY:6CENSUS: 0DATE:
06/04/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lesley Vannoy, LicenseeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Resident sustained pressure injuries while in care.
Resident's hygiene needs were not met.
INVESTIGATION FINDINGS:
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On 6/4/2025 at 2:00 PM, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez made an unannounced visit to the facility to deliver the findings of the above allegation. LPAs explained the purpose of the visit to the administrator/licensee Lesley Vannoy. The investigation consisted of file review, interviews with staffs as well as observation.

Allegation #1 Resident sustained pressure injuries while in care.

Resident #1 (R1) was under the care of an outside home health agency while at the facility from 1/15/2021 to 2/16/2021. The alleged event occurred on 1/15/2021. R1 was referred to home health care (HHC) on the same date, with care beginning on 1/18/2021. According to the HHC OASIS D1 start-of-care documents, R1 was receiving treatment from HHC; however, the care plan documents indicate that services were provided for other medical needs, with no mention of a diagnosis requiring wound care. On 1/22/2021, documentation noted a stage 1 pressure ulcer on the coccyx. By 2/3/2021, records indicated that the coccyx pressure ulcer had progressed to stage 2 and was being treated. Based on the investigation and records review, the allegation that R1 sustained pressure injuries while in care is unsubstantiated, as R1 was under the care of an outside HHC agency throughout their stay at the facility.
*** Continuation in LIC9099C ***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
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 2
Control Number 18-AS-20210303143604
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ACCURO HOMES
FACILITY NUMBER: 336426771
VISIT DATE: 06/04/2025
NARRATIVE
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Allegation #2 Resident's hygiene needs were not met – There was not enough evidence to prove Resident’s #1 hygiene needs were not met. LPAs were unable to conduct additional interviews due to the facility having no residents in care.

During the investigation, LPAs did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Administrator/Licensee Lesley Vannoy.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2