360902129-5-11-2023-18-AS-JESL-CSE87S-20230601221625

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 07/28/2021
Date Signed: 05/11/2023 03:03:41 PM

Unfounded

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
07/26/2021 and conducted by Evaluator Elecia Weathersby

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210726134618

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:	07/28/2021
		UNANNOUNCED	TIME BEGAN:	12:48 PM
MET WITH:	Melanie Niez, Administrator		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Staff do not ensure that resident is adequately fed
Staff does not treat resident with dignity or respect

INVESTIGATION FINDINGS:

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***The following report is an amendment to the original findings that were delivered on 7/28/2021.

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver the amended findings that were orginially given on 7/28/21. LPA met with Melanie Niez, Administrator and explained the purpose of the visit. The allegation(s) listed above were investigated. The investigation consisted of observations, interviews and record review.

Regarding the allegation of Staff do not ensure that resident is adequately fed.
LPAs observations, and interviews conducted with staff and residents revealed residents are adequately fed. LPA entered the facility during the lunch hour and observed the dining hall full to capacity with residents eating. Interviews with staff revealed that most residents go to the dining hall to eat during normal mealtimes of 8am, 12pm, and 5pm. Staff revealed that approximately 10% of resident have meals delivered to their rooms due to various reasons. Resident (R1) confirmed that meals are regularly delivered, and the resident

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 255-9516
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

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 18-AS-20210726134618

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: BRASWELL'S CHATEAU VILLA	FACILITY NUMBER: 360902129
	VISIT DATE: 07/28/2021

NARRATIVE

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is being fed regularly. LPA observed R1 to have lunch sitting in front of the resident upon LPA’s entry. LPA also received confirmation from R2 that R2 is adequately fed. LPA could not find evidence to support the allegation of staff do not ensure that residents are adequately fed. Therefore, the allegation is UNFOUNDED.

Regarding allegation #2 Staff does not treat resident with dignity or respect.

LPA conducted interviews with staff and residents revealed that staff treat residents with dignity and respect. Staff denied any mistreatment of residents and R1 revealed that staff are not rude or disrespectful. R1 also disclosed that staff has never mistreated, abused, or harmed R1. LPA could not find any evidence to support the allegation of staff do not treat residents with dignity or respect. Therefore, the allegation is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Therefore, the department had there dismissed the complaint.

An exit interview was conducted, where a copy of this report was reviewed and provided to Melanie Niez, Administrator..

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 255-9516
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

LIC9099 (FAS) - (06/04)

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