360902129-2-21-2023-56-AS-KCLS-CQNTNF-20230407145240

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 02/21/2023
Date Signed: 02/21/2023 03:40:09 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
02/14/2023 and conducted by Evaluator Magda Malcore

COMPLAINT CONTROL NUMBER: 56-AS-20230214160051

FACILITY NAME:	BRASWELL'S CHATEAU VILLA		FACILITY NUMBER:	360902129
ADMINISTRATOR:	MELANIE NIEZ		FACILITY TYPE:	740
ADDRESS:	620 E. HIGHLAND AVENUE		TELEPHONE:	(909) 793-0433
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92374
CAPACITY:	156	CENSUS: 95	DATE:	02/21/2023
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	MELANIE NIEZ, Administrator		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff does not provide meal service to resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore and Bernadette Allen conducted an unannounced visit to initate a complaint investigation and deliver findings for the allegation above. LPA's met with Melanie Niez who was informed of the purpose of the visit.

Allegation #1 - Staff does not provide adequate meal service to resident in care

During the investigation LPA's observed that there was a current menu available for review and the alternate menu. LPA Allen observed sufficient food supplies to meet the needs of those in care. There was a 5-day supply of perishables and 7-day supply of non-perishables. LPA's also interviewed five (5) residents and four (4) staff members who stated meals are being served by staff in a timely manner in the dining area but if they are not feeling well they are encouraged at least three times so they can associate and get exercise.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023

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-20230214160051

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 CHATEAU VILLA	FACILITY NUMBER: 360902129
	VISIT DATE: 02/21/2023

NARRATIVE

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If they are not willing the residents food is taken to their rooms and if alternate meals are requested that is also provided. Resident 1 (R1) file was reviewed, and the resident is ambulatory and can provide self-care needs for himself. Based on on file review, interviews and observations the allegation above is unsubstantiated.

Based on the investigation, the above finding is Unsubstantiated. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023

LIC9099 (FAS) - (06/04)

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