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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 02/09/2023
Date Signed: 02/09/2023 01:13:23 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/01/2023 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 56-AS-20230201162146
FACILITY NAME:BRASWELL'S MEDITERRANEAN GARDENSFACILITY NUMBER:
360900521
ADMINISTRATOR:KEELY MILLERFACILITY TYPE:
740
ADDRESS:12295 4TH STREETTELEPHONE:
(909) 797-1131
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:130CENSUS: 70DATE:
02/09/2023
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Keely Miller Administrator TIME COMPLETED:
11:50 AM
ALLEGATION(S):
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9
Staff hits residents in care.
Staff handles residents in a rough manner.
Staff speaks to residents in an inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen arrived at the facility unannounced to initiate a complaint investigation and deliver the findings for the allegations listed above. LPA met with Administrator Keely Miller.

The investigation consisted of observations and interviews with six (6) staff members and nine (9) residents. The residents interviewed were asked if any staff member(s) have ever hit them, handled them in a rough manner, or spoken to them in an inappropriate manner. The nine(9) residents stated that the they have never been hit by a staff member(s) or handled in a rough manner and the staff has never spoken to them in an inappropriate manner. The six (6) staff members interviewed said that there hasn't been a time when they have seen or heard of another staff member(s) hitting a resident, or treating the residents in a rough manner, nor have they experienced a staff member speaking to residents in an inappropriate manner.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette AllenTELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
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 56-AS-20230201162146
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
, CA 92507
FACILITY NAME: BRASWELL'S MEDITERRANEAN GARDENS
FACILITY NUMBER: 360900521
VISIT DATE: 02/09/2023
NARRATIVE
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During the visit LPA observed the staff member(s) on duty were treating the residents with dignity and respect. Based on the observations and interviews the allegations findings are Unsubstantiated.

A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette AllenTELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2