360900521-6-18-2020-18-AS-EMAN-BQXKYQ-20200626081932

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 06/17/2020
Date Signed: 06/18/2020 09:13:35 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/13/2020 and conducted by Evaluator Robbie Johnson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200113160731

FACILITY NAME:	BRASWELL'S MEDITERRANEAN GARDENS		FACILITY NUMBER:	360900521
ADMINISTRATOR:	VIRGINIA BAUER		FACILITY TYPE:	740
ADDRESS:	12295 4TH STREET		TELEPHONE:	(909) 797-1131
CITY:	YUCAIPA	STATE: CA	ZIP CODE:	92399
CAPACITY:	130	CENSUS: 86	DATE:	06/17/2020
		UNANNOUNCED	TIME BEGAN:	02:12 PM
MET WITH:	Keely Miller, Administrator		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Staff did not safeguard residents belongings
Residents are not being provided clean linens
Staff are not providing residents with food of good quality
Staff does not follow menu posted

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Robbie Johnson contacted the facility via telephone to commence a complaint investigation via telephone due to COVID-19. LPA identified herself and discussed the purpose of the call and the elements of the above allegations with Administrator Keely Miller.

During the course of the investigation, LPA conducted interviews with staff and residents. Interviews with several residents revealed that their personal items has remained in their possession and that none of their items have been stolen or are missing. Interviews with staff revealed that no complaints have been received from residents identifying missing items. LPA could not corroborate the facility failed to safeguard residents belongings. The allegation is UNSUBSTANTIATED.

Allegation #2 residents are not being provided clean linens. Interviews with staff revealed that resident rooms are cleaned and linens changed once per week. Interviews with several residents revealed that the facility does provide clean linens on a regular basis. The allegation is UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Robbie Johnson	TELEPHONE: (951) 248-0304
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2020

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

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20200113160731

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: BRASWELL'S MEDITERRANEAN GARDENS	FACILITY NUMBER: 360900521
	VISIT DATE: 06/17/2020

NARRATIVE

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Allegation # 3 Staff are not providing residents with food of good quality. Interviews with several residents revealed that the quality of food served is sufficient. Resident interviews revealed that the facility offers alternative meal options outside of the daily food menu. LPA could not corroborate that the staff are not providing residents with food of good quality. The allegation is UNSUBSTANTIATED.

Allegation # 4 Staff does not follow menu posted. Interviews with staff revealed that the daily menu is followed and that residents have options if the food served for the day is unwanted. Interviews with residents revealed that the facility follows the daily menu. LPA could find no evidence that the facility failed to follow menu posted. The allegation is UNSUBSTANTIATED.

A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred.

A copy of this report was reviewed with and provided to the Administrator.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Robbie Johnson	TELEPHONE: (951) 248-0304
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2020

LIC9099 (FAS) - (06/04)

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