360900521-9-21-2026-56-AS-NBRN-DYESBF-20260930134351

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 09/21/2026
Date Signed: 09/21/2026 01:27:10 PM

Substantiated

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
06/12/2026 and conducted by Evaluator Paola Guerrero

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260612115850

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: 78	DATE:	09/21/2026
		UNANNOUNCED	TIME BEGAN:	11:42 AM
MET WITH:	Maria Cervantes		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not following infection control protocol

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver the investigative findings. Upon arrival, LPA met with Facility Administrator Maria Cervantes and explained the purpose of the visit, which was to discuss the investigative findings related to the allegation described above.

Allegation: Staff are not following infection control protocols.
Regarding the allegation, LPA conducted an inspection of the facility’s personal protective equipment (PPE) and infection control supplies. During the inspection, LPA observed the required quantities of face shields, face masks, gowns, and gloves stored in the medication room. LPA interviewed Staff #1 and Staff #2 regarding the allegation and requested that staff identify the location where disinfectants and materials used for containment and cleanup of bodily fluids are maintained. Staff #1 and Staff #2 stated that the facility does not currently have spill kits available. Staff reported that, when cleaning bodily fluids, such as vomit, the facility provides staff with incontinence absorbent mats and bleach for cleanup.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2026

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 3

Control Number 56-AS-20260612115850

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: 09/21/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Staff #1 and Staff #2 further stated that gloves and masks are provided to staff. LPA requested documentation demonstrating that staff had received training regarding the proper procedures for cleaning bodily fluid spills and the appropriate disposal of biohazardous materials. Staff #1 and Staff #2 were unable to provide documentation of training related to these procedures. Based on the information obtained through observation, staff interviews, and the review of available training documentation, LPA determined that the facility had not demonstrated that staff were adequately trained in the proper procedures for cleaning bodily fluid spills and disposing of biohazardous materials. Although PPE was observed to be available at the facility, the lack of spill kits and the inability to provide documentation of staff training regarding the proper handling and disposal of bodily fluids support the allegation. Based on the evidence obtained during the investigation, LPA determined that the allegation that staff are not following infection control protocols is substantiated.

A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 Regulations, from division 6, chapter, article 6, is, cited on the attached LIC 9099 D. An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Administrator Maria Cervantes at the conclusion of the visit.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 56-AS-20260612115850

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/21/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/28/2026 Section Cited CCR 87470(a)(2)(C)(D)	1 2 3 4 5 6 7	Infection Control Requirements 87470 (a) A licensee shall ensure that infection control practices are maintained as follows…. (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows…. (C) Spills of blood and other potentially infectious materials and surfaces shall be promptly cleaned and disinfected…(D) Facility items that cannot be disinfected shall be discarded immediately in an appropriate waste receptacle with a tight-fitting cover or otherwise made inaccessible to human contact or transmission. This requirement is not met as evidence by:	1 2 3 4 5 6 7	The Licensee has agreed to read over regulation: Infection Control Requirements 87470 (a)(2)(C)(D) and provide training to all staff to ensure all staff are trained in the proper procedures on how to clean bodily fluids and spills and proper disposal of biohazard material. The Licensee will also purchase proper disinfectants and provide LPA with invoices. In addition, the Licensee will provide LPA with proof of training by emailing LPA a copy of the training signed and dated by all staff by POC date 9/28/2026.
	8 9 10 11 12 13 14	Based on observation, interviews, and record review, the licensee did not adhere to infection control requirements by not having the required disinfectants and training available, which poses a potential health, safety, or personal rights risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3