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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 01/14/2025
Date Signed: 01/14/2025 01:25:01 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
12/18/2024 and conducted by Evaluator Sarina Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20241218104715
FACILITY NAME:BRASWELL'S CHATEAU VILLAFACILITY NUMBER:
360902129
ADMINISTRATOR:MELANIE NIEZFACILITY TYPE:
740
ADDRESS:620 E. HIGHLAND AVENUETELEPHONE:
(909) 793-0433
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:156CENSUS: 108DATE:
01/14/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Administrator Melanie NiezTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not afford the residents privacy while in care
Staff did not keep the facility free from pests
Staff mishandled the residents personal belongings
Staff did not provide an appropriate sleeping arrangement for a resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Melanie Niez and discussed the purpose of the visit.

Regarding allegation #1, LPA Ramirez conducted 3 staff interviews. 2 out of 3 staff informed LPA a memo was sent out in advance indicating their rooms will be checked, 1 out of 3 staff informed LPA most residents were in their rooms to grant entry, some gave verbal permission to enter if they were not in their room, and the ones who were not in their rooms were found to enter their rooms with staff.

LPA conducted 10 resident interviews. 5 out of 10 residents stated they are provided with privacy. 2 out of 10 residents stated no they do not have privacy. 3 out of 10 residents did not provide an answer.

Regarding allegation #2, LPA Ramirez conducted 3 staff interviews. 3 out of 3 staff informed LPA
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 56-AS-20241218104715
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 CHATEAU VILLA
FACILITY NUMBER: 360902129
VISIT DATE: 01/14/2025
NARRATIVE
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the facility has pests and they are in the process of dealing with it.

LPA conducted 10 resident interviews. 1 out of 10 residents were not aware of pests in the facility. 8 out of 10 residents were aware of pests in the facility. 1 out of 10 residents did not answer.

Regarding allegation #3, LPA conducted 3 staff interviews. 3 out of 3 staff informed LPA they did not mishandle residents belongings.

LPA conducted 10 residents interviews. 6 out of 10 residents stated their belongings are not being mishandled. 1 out of 10 residents stated their belongings are being mishandled. 1 out of 10 residents stated they don't know if their belongings are being mishandled. 2 out of 10 residents did not answer.

Regarding allegation #4, LPA conducted 3 staff interviews. 3 out of 3 staff informed LPA they provide appropriate sleeping arrangements for residents if needed.

LPA conducted 10 resident interviews. 3 out of 10 residents were provided appropriate sleeping arrangements when needed. 1 out of 10 resident could not provided information due to being in the hospital. 1 out of 10 resident stated they did not receive appropriate sleeping arrangements. 5 out of 10 residents did not need sleeping arrangements.

Based on LPAs observations, record review, and interviews, the above allegations are Unsubstantiated. A finding that complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, and this report was discussed and provided to Administrator Melanie Niez.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC9099 (FAS) - (06/04)
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