360900521-4-14-2021-18-AS-RLAY-C25U28-20210416151129

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360900521
Report Date: 03/13/2020
Date Signed: 04/14/2021 02:32:00 PM

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
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/07/2019 and conducted by Evaluator Jennifer Semin

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20191007110153

FACILITY NAME:	BRASWELL'S MEDITERRANEAN GARDENS		FACILITY NUMBER:	360900521
ADMINISTRATOR:	VIRGINIA BAUER		FACILITY TYPE:	740
ADDRESS:	12295 4TH STREET		TELEPHONE:	(909) 797-1131
CITY:	YUCAIPA	STATE: CA	ZIP CODE:	92399
CAPACITY:	130	CENSUS: 97	DATE:	03/13/2020
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Christel Bunney		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Resident was not provided assistance with going to the bank

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jennifer Semin contacted the facility via telephone to deliver the final complaint investigation report. LPA identified herself and discussed the purpose of the call and the elements of the allegation with Christel Bunney.
The allegation indicates the resident was not provided assistance with going to the bank. Staff and resident interviews revealed staff assist residents in the community when needed.
On the day in question multiple residents were conducting errands in the community with the assistance of staff. All staff and residents took one vehicle. R1 wanted staff to leave R2 and staff behind at the community location. R1 wanted to be taken to the bank immediately. It was determined this would not be appropriate as staff could not determine how long the errand for R2 would take. Interviews revealed R1 became upset when they had to wait. R1 waited for approximately 30 minutes while staff assisted R2 during their errand. R1 was then taken to the bank as requested.
This agency has investigated the complaint and have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.
An exit interview was conducted with Ms. Bunney via telephone and a copy of this report was provided via email. Report with facility representative signature was obtained.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Jennifer Semin	TELEPHONE: (951) 473-7024
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021

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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