360902129-1-30-2026-56-AS-KCLS-DWWQ7G-20260813115504

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902129
Report Date: 01/30/2026
Date Signed: 01/30/2026 01:07:34 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
01/23/2026 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20260123114555

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: 106	DATE:	01/30/2026
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator Melanie Niez		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff are not administering medication to resident as prescribed.

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 allegation. LPA met with Administrator Melanie Niez, and discussed the purpose of the visit.

An allegation was made that Staff are not administering medication to resident as prescribed, it is alleged Resident 1 (R1) did not receive their prescribed antibiotic. Review of R1’s LIC 602A confirmed that R1 requires medication assistance per physician’s orders. Based on interviews, on 1/22/26 R1 could not be found when medication was being administered. R1 states they were in their room the entire day. Based on record review, R1 was not in the dining room or their room at the time of afternoon administration. There is not enough evidence to prove whether R1 was in their room or not

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026

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-20260123114555

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: 01/30/2026

NARRATIVE

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LPA interviewed ten (10) residents, 8 of the 10 residents interviewed confirmed they receive their medication as prescribed per physician’s orders. 1 of the 9 residents stated they do not receive their medication as prescribed as physician. 1 of the 9 residents stated they do not take medication only vitamins.

LPA interviewed two (2) staff, all whom confirm residents medication is administered as prescribed by physician’s orders. One (1) staff informed LPA the only time residents do not receive their medication is when they are unable to be located, when administering medication staff start in the dining room, if resident is not eating, their room is checked, as well as the smoking area and activities room. When all locations have been checked and the resident is still not found the MAR is then noted the medication was not administered. There is no evidence to support the allegation, therefore, the allegation above is 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 was provided at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026

LIC9099 (FAS) - (06/04)

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