360902129-10-23-2024-56-AS-KCLS-DAJQNW-20241030121949

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 10/23/2024
Date Signed: 10/23/2024 03:35:47 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
06/03/2024 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240603143519

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; 156	CENSUS: 116	DATE:	10/23/2024
		UNANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:	Melanie Niez		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Resident has wounds due to staff neglect
Staff are not feeding resident
Staff are refusing to give resident their prescribed medication
Staff are not meeting residents’ hygiene needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the investigation on the above allegations. LPA met with Administrator Melanie Niez, who was informed of today’s visit. The investigation consisted of LPA observations and LPA interviews with pertinent parties.

Regarding the allegation, resident has wounds due to staff neglect, interviews with five (5) staff and six (6) residents reveal, not enough witnesses to corroborate that a resident has wounds to due staff neglect.

Regarding the allegation, staff are not feeding resident, five (5) staff interviews reveal residents are being fed. Five (5) out of (6) resident interviews reveal they are being fed and provided breakfast, lunch, and dinner.

Regarding the allegation, staff are refusing to give resident their prescribed medication, five (5) staff interviews reveal staff are providing residents their prescribed medications. Six (6) resident interviews reveal, staff do not refuse to give them their prescribed medications.

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: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

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-20240603143519

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: 10/23/2024

NARRATIVE

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Regarding the allegation, staff are not meeting residents’ hygiene needs, five (5) staff interviews reveal, staff are meeting the needs of the residents. Six (6) resident interviews reveal staff are meeting their hygiene needs.

Based on evidence obtained during this investigation, the allegations mentioned in this report are Unsubstantiated; meaning that although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

An exit interview was conducted with where this report was discussed. A copy of this report was provided with appeal rights to Administrator Niez at the conclusion of the visit.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

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