360900521-3-3-2023-18-AS-DMUN-CPSLPE-20230310075546

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 03/03/2023
Date Signed: 03/03/2023 02:09:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/21/2021 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210121081555

FACILITY NAME:	BRASWELL'S MEDITERRANEAN GARDENS		FACILITY NUMBER:	360900521
ADMINISTRATOR:	KEELY MILLER		FACILITY TYPE:	740
ADDRESS:	12295 4TH STREET		TELEPHONE:	(909) 797-1131
CITY:	YUCAIPA	STATE: CA	ZIP CODE:	92399
CAPACITY:	130	CENSUS: 71	DATE:	03/03/2023
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Christelle Bunney, Receptionist		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff are rough with residents
Staff pinches residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to conclude an investigation into the allegations listed above. LPA met with Receptionist Christelle Bunney and explained the purpose of the visit. Administrator Keely Miller was unavailable due to weather.
During today's visit, LPA interviewed one (1) staff and three (3) resident. Regarding the allegation "Staff are rough with residents". it was alleged that Staff #1(S1) and Staff #2 (S2) are rough when turning residents and will push them or drop them. Thirteen (13) residents were interviewed and an additional interview was attempted with one (1) other resident however, they were found to be non-verbal. Seven (7) staff were also interviewed during the investigation. Seven (7) of thirteen (13) residents interviewed reported although they had not been directly handled roughly by S1 but they had heard that S1 is rough with residents but could not specifically state who the heard the information from. Four (4) of the seven (7) staff interviewed reported they have also heard S1 and S2 are rough with residents but could not state who they heard the information from. One (1) resident interviewed reported S1 was "very verbally abusive with an authoritarian attitude". S1 was interviewed and denied handling residents in a rough manner but did state that they "speak loudly" at times when dealing with residents. (CONTINUED ON LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 248-8031
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

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-20210121081555

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: BRASWELL'S MEDITERRANEAN GARDENS	FACILITY NUMBER: 360900521
	VISIT DATE: 03/03/2023

NARRATIVE

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(CONTINUED FROM LIC9099-C)
One (1) resident interviewed reported S2 had pushed them but was unable to elaborate further. A second resident reported they had been "wrestled" by S2 but reported they "Just let it go" and "God will get her". They also refused to elaborate any further. A third resident reported S2 grabbed them by the arm and told them to sit down during a birthday party. That third incident was witnessed by one (1) other resident and a staff reported they heard S2 say, "I didn't push you!" when the resident protested.
Regarding the allegation "Staff pinches residents". it was alleged that S2 pinches residents. Five (5) of thirteen (13) residents interviewed reported that although they had not been directly pinched by S2, they had heard that S2 pinches residents. Four (4) of the seven (7) staff interviewed reported they have also heard S2 has pinched residents. All residents and staff interviewed could not specifically state who the heard the information from. S2 was interviewed and denied pinching, handling residents roughly or grabbing a resident by the arm during the birthday party. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 248-8031
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

LIC9099 (FAS) - (06/04)

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