360900521-7-11-2026-56-AS-NBRN-DWER5X-20260728124351

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 07/11/2026
Date Signed: 07/11/2026 01:31:02 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
03/02/2026 and conducted by Evaluator Paola Guerrero

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260302095529

FACILITY NAME:	BRASWELL'S MEDITERRANEAN GARDENS		FACILITY NUMBER:	360900521
ADMINISTRATOR:	LYNETTE HUMPHREY		FACILITY TYPE:	740
ADDRESS:	12295 4TH STREET		TELEPHONE:	(909) 797-1131
CITY:	YUCAIPA	STATE: CA	ZIP CODE:	92399
CAPACITY:	130	CENSUS: 82	DATE:	07/11/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Maria Cervantes		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff not properly trained.
Staff left residents in soiled diapers resulting in rashes.
Insufficient staffing to provide assistance to residents.
Unqualified staff administering medication.
Staff do not maintain an adequate amount of supplies.
Staff are not providing basic laundry service.
Staff do not prevent outbreak of scabies.
Staff do not prevent outbreak of covid.

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 not properly trained. Regarding the allegation stated above, LPA conducted interviews with Staff #1-3 regarding the alleged allegation and Staff #1-3 denied the allegation and informed LPA that all care staff receive the proper training upon hire and continuous training throughout the year. Staff #1 provided LPA with medtech certificates of completion along with caregiving training. LPA conducted a record review of all certificates and training courses and discovered all certificates to be current and hours of training to be documented.

Second allegation: Staff left residents in soiled diapers resulting in rashes. Regarding the allegation stated above, LPA conducted interviews with Staff #1-3 regarding the alleged allegation and Staff #1-3 denied the allegation and informed LPA that all residents receive proper incontinence care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2026

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-20260302095529

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: 07/11/2026

NARRATIVE

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Sixth allegation: Staff are not providing basic laundry service. Regarding the allegation stated above, LPA conducted an interview with Staff #2 regarding the alleged allegation and Staff #2 informed LPA that the facility provides residents with laundry services once a week Monday-Friday per area. Staff #2 further indicated that laundry services are also provided as needed for residents who have urinary and bowel incontinence. LPA conducted an interview with Staff #1 who informed LPA that laundry services are provided and part of the resident’s admission. Staff #1 provided LPA with laundry log. LPA conduct a review of records and observed laundry services to be provided Monday-Friday. LPA also observed laundry services for residents with incontinence care.

Seventh allegation: Staff do not prevent outbreak of scabies. Regarding the allegation stated above, LPA conducted an interview with Staff #1 and Staff #2 regarding the alleged allegation and Staff #1-2 denied the allegation and informed LPA that on two separate incidents 2/14/2026 and 2/21/2026, two residents were diagnosed with scabies. Staff #1 and Staff #2 informed LPA that all care staff were informed Personal Protective Equipment (PPE), was provided to staff and facility followed their infectious control plan against scabies. Staff #1 and Staff #2 informed LPA that both residents were treated, and no reports of scabies have occurred since both cases. LPA conducted an interview with Staff #3 regarding the alleged allegation and Staff #3 informed LPA that there has not been any recent report of scabies at the facility. Staff #3 informed LPA that there have been two separate incidents regarding residents being diagnosed with scabies. Staff #3 further indicated that during both incidents staff were made aware; residents were treated and the facility provided staff with the necessary PPE supplies as preventative measures.

Eight allegation: Staff do not prevent outbreak of covid. Regarding the allegation stated above, LPA conducted interviews with Staff #1-3 regarding the alleged allegation and Staff #1-3 denied the allegation and informed LPA that for the past year the facility has not had any Positive COVID cases reported. LPA conducted interviews with Residents #1-5 regarding the alleged allegation and all residents denied the allegation and informed LPA that they cannot recollect when the facility had a COVID outbreak. Resident #1-5 further stated that they have not witnessed any resident test positive for COVID in the past few months. 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: 07/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2026

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20260302095529

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: 07/11/2026

NARRATIVE

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In addition, Staff #1-3 denied the allegation of staff leaving residents in soiled diapers for long period of time resulting in rashes. Staff #3 informed LPA that frequent diaper checks (every 2-3 hours), are implemented as residents can soil a diaper minutes after changing. LPA conducted interviews with Residents #1-5 regarding the alleged allegation and Resident #1-5 denied the allegation and informed LPA that caregivers are tentative and provide adequate care. Resident #1-5 informed LPA that they have not been left in soiled diapers for long period of time resulting in rashes. Resident #1-5 informed LPA that staff provide them with incontinence brief change when needed.

Third allegation: Insufficient staffing to provide assistance to residents. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 denied the allegation and provided LPA with most recent employee roster and informed LPA that the facility is currently staffed. Staff #1 informed LPA that facility does receive no call no show however, facility has enough care support to cover. LPA conducted interviews with Residents #1-5 regarding the alleged allegation and all residents informed LPA that in the past the facility might have been short staffed however, caregiver still provided residents with their care needs. Resident #1-5 informed LPA that they do not have any concerns right now regarding staff support as their care needs are being met.

Fourth allegation: Unqualified staff administering medication. Regarding the allegation stated above, LPA conducted interviews with Staff #1-3 regarding the alleged allegation and Staff #1-3 denied the allegation and informed LPA that all MedTechs complete 16 hours of hands-on training on Medication Verification along with 24-hour training on Assisted Living Medication training. Staff #1 provided LPA with certificates and training longs. LPA conducted a record review of all certificates and training courses and discovered all certificates to be current and hours of training to be documented.

Fifth allegation: Staff do not maintain an adequate amount of supplies. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation and Staff #1 informed LPA that supply orders are placed twice a month and as needed. Staff #1 provided LPA with supply invoices. LPA conducted a review of record and observed that the last supply order was placed on June 18,2026 for Continental Pacific. LPA conducted interviews with Staff #2, Staff #3, regarding the alleged allegation and all staff denied the allegation and informed LPA that the facility maintains a good number of supplies stored and available for staff and residents’ usage. LPA inspected two supply closets located in the facility and observed facility to have Personal Protective Equipment (PPE) supply, items such as gloves, gowns, disinfectants, N95 masks, and hand sanitizer. in addition, LPA also observed toileting supplies, and incontinence supplies to be stored.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2026

LIC9099 (FAS) - (06/04)

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