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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 07/09/2026
Date Signed: 07/09/2026 06:51:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
03/23/2026 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260323082445
FACILITY NAME:BRASWELL'S MEDITERRANEAN GARDENSFACILITY NUMBER:
360900521
ADMINISTRATOR:LYNETTE HUMPHREYFACILITY TYPE:
740
ADDRESS:12295 4TH STREETTELEPHONE:
(909) 797-1131
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:130CENSUS: 82DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
04:27 PM
MET WITH:Maria CervantesTIME COMPLETED:
07:00 PM
ALLEGATION(S):
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Staff do not ensure residents have transprotation to appointments.
Staff are not meeting residents dietary needs.
Staff ignore residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Maria Cervantes and explained the purpose of the visit regarding the allegation stated above.

First allegation: Staff do not ensure residents have transportation to appointments. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation. Staff #1 informed LPA that majority of residents at the facility utilize InnovAge for transportation. Staff #1 further stated that if a resident is referred to see a specialist the facility will make transportation arrangements with the resident. LPA conducted interviews with Residents #1-5 regarding the alleged allegation and Residents #1-3 informed LPA that their primary physician comes to the facility and provides routine check-ups. Resident #4 and Resident #5 informed LPA that InnovAge provides them with transportation for all their appointments. Residents #1-5 denied the allegation and informed LPA that the facility assists residents with transportation to medical appointments when needed.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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 56-AS-20260323082445
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: BRASWELL'S MEDITERRANEAN GARDENS
FACILITY NUMBER: 360900521
VISIT DATE: 07/09/2026
NARRATIVE
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Second allegation: Staff are not meeting residents’ dietary needs. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that the facility does have residents that are on special food diets. Staff #1 provided LPA with a list of all residents that are on a special food diet. Staff #1 denied that allegation and indicated that the facility does their best to meet resident’s dietary needs. LPA conducted interviews with Resident #1-4 regarding the alleged allegation and Residents #1-4 denied the allegation and informed LPA that they have no issues to report regarding their meals and stated that the facility meets their dietary needs daily.

Third allegation: Staff ignore residents. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation and Staff #1 denied the allegation. Staff #1 informed LPA that they have not witnessed residents being ignored by staff. LPA conducted interviews with Resident #1-5 regarding the alleged allegation and Resident #1-5 denied the allegation and informed LPA that all staff are nice and respectful. Resident #1-5 informed LPA that staff respond to residents when assistance is needed. Resident #1-5 further indicated that they have no issues to report concerning their care. Based on corroborating evidence LPA has determined that the above allegation is Unsubstantiated, meaning that 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.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Maria Cervantes.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2