360900521-7-19-2021-18-AS-EMAN-C5QQ83-20210809115602

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 07/19/2021
Date Signed: 07/19/2021 02:57:34 PM

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
05/06/2020 and conducted by Evaluator Anna Bueno

COMPLAINT CONTROL NUMBER: 18-AS-20200506105239

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: 71	DATE:	07/19/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Keeli Miller		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff speak inappropriate to residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA)s Anna Bueno and Natalie Gayoso conducted an unannounced visit for the purpose of following up on a complaint investigation and delivering findings. LPAs met Administrator, Keeli Miller and explained the purpose of today's visit. The investigation consisted of staff and residents interviews and observations.
The complaint alleges that staff speak inappropriately to residents in care. Staff interviews state that staff need to raise their voice or repeat themselves for residents that are hard of hearing but they do not use inappropriate tone or words towards residents. Interviews with residents reveal that staff and administrator are nice and do not speak inappropriately to them.

This complaint is therefore UNSUBSTANTIATED. A finding of 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. No deficiencies have been cited during this visit. An exit interview was conducted and a copy of the report was given to Ms. Miller.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Anna Bueno	TELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021

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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