360902129-9-20-2024-56-AS-EMAN-DDAL8T-20250126073228

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 09/20/2024
Date Signed: 09/20/2024 11:52:49 AM

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
06/21/2024 and conducted by Evaluator Mary Rico

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240621102213

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:	09/20/2024
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Melanie Niez		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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Staff did not ensure the facility was free of bed bugs.
Resident is suffering emotional distress due to staff neglect

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPAs met with Administrator Melanie Niez and explained the purpose of the visit. The investigation consisted of staff interviews, client interviews and facility tour.
For the allegation, Staff did not ensure the facility was free of bed bugs.

LPA Rico and LPA Hernandez conducted six (6) staff interviews and seven (7) resident interviews. During staff interviews, 6 out of the 7 staff stated they have not seen bed bugs. The Administrator stated that R1 has bed bugs. The administrator informed LPAs that the facility has ordered a new bed frame and bed mattress for R1. In addition, the facility hired pest management to spray products inside R1 room.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Mary Rico	TELEPHONE: (951) 248-0293
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024

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-20240621102213

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: 09/20/2024

NARRATIVE

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During resident interviews, 5 out of the 7 residents stated they have not seen bed bugs in the facility. 2 out of the 7 stated they have seen bed bugs at the facility. In addition, R1 stated the facility will be replacing their bed frame and bed mattress.

During record review, LPAs observed the pest control management came to the facility on 5/7/2024 and 6/12/2024 for bed bugs. In addition, LPAs received a copy of R1 new bedframe and bed mattress.

For the allegation, Resident is suffering emotional distress due to staff neglect.

LPA Rico and LPA Hernandez conducted six (6) staff interviews and seven (7) resident interviews. During staff interviews 6 out of the 6 staff stated they have not neglected their residents. In addition, 7 out of the 7 residents stated they have not been neglected from staff.

Based on the evidence found during the investigation, the two (2) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Melanie Niez.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Mary Rico	TELEPHONE: (951) 248-0293
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024

LIC9099 (FAS) - (06/04)

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