360902129-10-22-2021-18-AS-JESL-CQD6CF-20230328204126

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 09/21/2021
Date Signed: 10/22/2021 11:29:47 AM

Unsubstantiated

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
07/30/2021 and conducted by Evaluator Elecia Weathersby

COMPLAINT CONTROL NUMBER: 18-AS-20210730090627

FACILITY NAME:	BRASWELL'S CHATEAU VILLA		FACILITY NUMBER:	360902129
ADMINISTRATOR:	JAMES BRASWELL		FACILITY TYPE:	740
ADDRESS:	620 E. HIGHLAND AVENUE		TELEPHONE:	(909) 793-0433
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92374
CAPACITY:	156	CENSUS: 86	DATE:	09/21/2021
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Licensee, Jim Braswell		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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#1 Residents are physically abused with bruising.
#2 There are multiple pressure injuries.
#3 Resident medication is contaminated.
#4 Staff are not properly administering medications.
#5 Staff are not adequately supervising residents.
#6 Physical Plant is unsafe.

INVESTIGATION FINDINGS:

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Licensing Program Analyst's (LPA) Elecia Weathersby made an unannounced visit to the facility for the purpose of investigating complaints regarding the above allegations. LPA met with facility Licensee, Jim Braswell and explained the purpose of the visit. Below is a summary of the findings of the investigation:

Allegation #1: Residents are physically abused with bruising:
LPA Elecia Weathersby conducted a tour of the inside and outside of the facility, specifically, checking for immediate health and safety concerns and interviewing residents and staff. LPA witnessed no signs of abuse, health and safety violations or evidence to confirm the allegation, or dismiss it.

Allegation #2: There are multiple pressure injuries.
LPA was unable to verify by sight, record review or interviews, that any resident had untreated pressure wounds. RP also recanted making allegation #2.
Allegation #3: Resident medication is contaminated.

LPA was unable to verify by sight, record review or interviews, that any resident's medication was ever contaminated. LPA observed a locked and organized medication room with no noticeable contamination or deficiencies.

Allegation #4: Staff are not properly administering medications.
LPA was unable to verify by sight, record review or interviews, that any residents medication was not distributed according to doctors medication orders.

Allegation #5: Staff are not adequately supervising residents.
LPA was unable to verify by sight, record review or interviews, that any resident was not being adequately supervised. All residents interviewed denied a lack of supervision by staff.

Allegation #6: Physical Plant is unsafe.
LPA was unable to verify by sight, record review or interviews, that the physical plant was unsafe. LPA observed no visible hazards at the facility. Evidence collected indicated that the Air Conditioner (AC) in the recreation room was repaired in July 2021 and each commonly shared AC unit was serviced in May of 2021. LPA identified the facility temperature to be sufficiently within Title 22 regulations.

Due to conflicting information from the reporting party, residents, and staff, and based on LPA Weathersby's observations, records review, and interviews, the allegations are UNSUBSTANTIATED. A finding of 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.

A copy of this report and appeals right were reviewed with and provided to Licensee, Jim Braswell at the end of the visit.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Elecia Weathersby	TELEPHONE: (951) 255-9516
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

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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