360902129-2-26-2025-56-AS-KCLS-DEB9HT-20250227222340

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 02/26/2025
Date Signed: 02/26/2025 01:51:43 PM

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
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/23/2022 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20221223154904

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: 103	DATE:	02/26/2025
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Melanie Niez- Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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1)-Facility staff did not follow isolation guidelines for staff with COVID-19 infection.
2)-Facility staff did not follow isolation guidelines for residents with COVID-19 infection.
3)-Facility staff do not seek timely medical care for residents.
4)-Facility staff do not ensure residents receive meals that meet their dietary needs.
5)-Facility staff do not ensure residents have clean drinking water.
6)-Facility staff do not regularly assist residents requiring oxygen with putting oxygen on at bedtime.
7)-Facility staff did not dispense medications are prescribed
8)-Facility staff left medications in resident's room.
9)-Facility staff yell at the residents.
10)-Facility staff stole from resident.
11)-Facility staff did not assist resident with appointments.
12)-Facility staff did not prevent resident from verbally abusing another resident.
13)-Facility staff did not provide clean bedding to residents.
14)- Facility staff did not provide clean towels to residents.
15)-Facility staff did not repair broken call button.
16)-Facility staff did not repair ceiling leak.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to the facility to initiate a complaint investigation and deliver the findings. LPA Allen met with Melanie Niez Administrator who was informed of the purpose of the visit and the allegations.

Allegation 1 and Allegation 2: The interviews conducted with staff members who confirmed that during the Covid-19 pandemic, isolation protocols have been and are being followed for both staff and residents.

Allegation 3 and Allegation 4: Staff members and residents stated that they receive timely medical care, and meals are provided that meet their dietary needs daily.

Allegation 5: The interviews with staff and residents stated clean drinking water is provided throughout the day in their rooms and throughout the facility. During tour of the facility LPA observed clean water being provided to the residents in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

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-20221223154904

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
, CA 92507

FACILITY NAME: BRASWELL'S CHATEAU VILLA	FACILITY NUMBER: 360902129
	VISIT DATE: 02/26/2025

NARRATIVE

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Allegation 6: The staff and residents have stated help is provided when oxygen is needed at bedtime and throughout the day.

Allegation 7 and Allegation 8: Residents and staff have also stated medications are given as prescribed and not left in their room.

Allegation 9: Staff members reported that they have not experienced or observed staff yelling at residents and the residents have stated the staff members treat them with dignity and respect.

Allegation 10: Both staff and residents stated they have not currently experienced or heard of staff stealing from clients; however, there were rumors of such incidents in the past. Based upon the Departments investigation, which included interviews with staff and residents as well as a records review, there was no corroborative evidence found to support the allegation of fiduciary abuse by a staff member at the facility. It is alleged that a facility staff stole resident #1 (R1’s) debit card and spent over $1,000 from their account, there was no corroborating evidence to support this claim. The review of records obtained does not indicate any open case or claims regarding fiduciary abuse at this facility.

Allegation 11: Residents and staff have stated they are assisted with appointments and visits to the doctor office as needed.

Allegation 12: Staff members reported that they have not observed residents yelling at each other, and when aggressive behavior does occur, residents are redirected. Residents have also stated if altercations occur staff will separate them as needed.

Allegation 13 and Allegation 14: Staff members have stated residents are provided with clean linen and towels as needed and during the tour LPA observed a supply of clean linens and towels.

Allegation 15: Interviews with staff, residents, and LPA observations during the visit the call button was working and when it is not, the maintenance team is informed, and repairs are promptly made.

Allegation 16: Interviews with staff, residents stated there were currently no leaks in the building and during the tour of the facility LPA didn’t observe any leaks.

Based on the evidence gathered during the investigation, the above allegation is found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Melanie Niez Administrator at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

LIC9099 (FAS) - (06/04)

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