360902129-5-14-2026-56-AS-KCLS-DUJ6DE-20260528204301

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 05/14/2026
Date Signed: 05/14/2026 02:33:23 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
09/24/2025 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20250924091624

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: 108	DATE:	05/14/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator Melanie Niez		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff did not prevent resident from developing pressure injuries while in care
Staff did not ensure residents’ incontinence needs are met.
Staff are "double diapering" residents.
Staff did not ensure to provide resident with medical care.
Resident room is malodorous.
Staff do not ensure that the facility is maintained in good repair.
Staff did not ensure that resident's hygiene needs were met.

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: Staff did not prevent a resident from developing pressure injuries while in care.Interviews with staff indicate that Resident #1 (R1) did not have any open pressure injuries but instead has a pre-existing skin condition. Interviews with an additional three (3) staff members confirm that R1 is routinely monitored and repositioned to prevent pressure injuries. Staff also reported that when a resident shows signs of early-stage pressure injuries, medication technicians (med techs) are notified and appropriate procedures are followed.

LPA interviewed four (4) residents, all of whom stated that staff take measures to prevent residents from developing pressure injuries.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

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-20250924091624

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: 05/14/2026

NARRATIVE

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Regarding Allegation #2: Staff did not ensure residents’ incontinence needs are met. LPA conducted interviews with four (4) staff members, all of whom stated that residents’ incontinence needs are being met. Staff reported that residents requiring incontinence care are checked every two (2) hours, and often more frequently as needed.

LPA also interviewed six (6) residents. Three (3) of the six (6) stated that staff adequately ensure their incontinence needs are met, while the remaining three (3) reported that they do not require assistance with incontinence care.

Regarding Allegation #3: Staff are “double diapering” residents. LPA interviewed four (4) staff members. Two (2) staff stated that residents are not permitted to be double diapered and confirmed that this practice is not occurring. The remaining two (2) staff reported having observed instances of residents being double diapered; however, one (1) of these staff members stated that after reporting the issue, the practice ceased.

LPA also interviewed six (6) residents. Three (3) of the six (6) reported that they do not require diapers, while the other three (3) stated they have not are not double diapered.

Regarding allegation #4, Staff did not ensure to provide resident with medical care. LPA conducted interviews with four (4) staff all of whom state the residents are provided with medical care.

LPA conducted interviews with four (4) residents all of whom state staff provide them with medical care if needed.

Regarding Allegation #5: A resident’s room is malodorous. An interview with the Administrator revealed that Resident #1 (R1) previously shared the room with a roommate who had significant incontinence needs. R1 has since been relocated, and during the LPA’s observation, the room was found to be free of odors.

LPA interviewed an additional three (3) staff members; two (2) reported that they take all necessary measures to prevent rooms from becoming malodorous, while one (1) staff member stated that some rooms do remain malodorous at times.

LPA also interviewed four (4) residents. Three (3) residents stated that staff make efforts to prevent rooms from smelling malodorous, while one (1) resident reported that rooms continue to have unpleasant odors.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20250924091624

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: 05/14/2026

NARRATIVE

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Regarding Allegation #6: Staff do not ensure that the facility is maintained in good repair. LPA interviewed four (4) staff members, all of whom stated that the facility is maintained in good repair.

LPA also interviewed six (6) residents, all of whom reported that the facility is consistently being maintained and kept in good repair.

Regarding Allegation #7: Staff did not ensure that residents’ hygiene needs were met. LPA interviewed four (4) staff members, all of whom stated that residents’ hygiene needs are being met.

LPA also interviewed six (6) residents. Three (3) of the six (6) reported that they do not require assistance with hygiene, two (2) residents stated that staff adequately meet their hygiene needs, while one (1) resident states their hygiene needs are not being met.

Based on observation, record review, and interviews; there is insufficient evidence to prove the alleged allegations did or did not occur. Therefore, the allegations above are Unsubstantiated.

An Unsubstantiated complaint means, that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator Melanie Niez and a copy of this report with Appeal Rights was provided at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

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