360900521-1-2-2025-56-AS-KCLS-DDBVX8-20250127154908

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 01/02/2025
Date Signed: 01/02/2025 02:14:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 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
12/20/2024 and conducted by Evaluator Eldin Serrano

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20241220091438

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: 80	DATE:	01/02/2025
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Lynette Humphrey, Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff are not properly addressing a rodent infestation in the facility

INVESTIGATION FINDINGS:

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On 1/02/2025 at 1:50 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegation. LPA Serrano explained the purpose of the visit to a staff. Staff informed the Administrator Lynette Humphrey of the visit. Administrator met with LPA Serrano and LPA explained the purpose of the visit to Administrator Humphrey.

The investigation was conducted by LPA Serrano. The investigation consisted of records review and interviews with relevant parties as well as observation. The allegations indicate:

Staff are not properly addressing a rodent infestation in the facility– Based on record review and relevant party interviews, 4 out of 4 interviews indicated that there were rodents’ activity in the facility, but it was addressed by the facility management.

*** Continuation in LIC9099C ***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Eldin Serrano	TELEPHONE: 951-248-0351
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

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-20241220091438

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: BRASWELL'S MEDITERRANEAN GARDENS	FACILITY NUMBER: 360900521
	VISIT DATE: 01/02/2025

NARRATIVE

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The interview with the administrator Lynette Humphrey stated preventative measures have been taken to address concerns of rodents and provided current records that reflect preventative measures have been put in place to avoid rodents being in the facility. The administrator provided a contract with a pest control management company. They have a monthly service frequency in their pest control agreement. The administrator also provided the November 2024 invoice and the pest management company current invoice for their service of the facility in December 2024. LPA toured the facility and did not observe any signs of rodent’s activity during inspection.

During the investigation, LPA did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 was discussed and provided to Administrator Lynette Humphrey.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Eldin Serrano	TELEPHONE: 951-248-0351
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

LIC9099 (FAS) - (06/04)

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