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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800189
Report Date: 12/12/2025
Date Signed: 12/12/2025 09:43:01 AM

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
10/27/2025 and conducted by Evaluator Eldin Serrano
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20251027095201
FACILITY NAME:VALLEY STAR CRISIS RES. TREATMENT- DESERT HILLFACILITY NUMBER:
361800189
ADMINISTRATOR:SYLVIA RODRIGUEZFACILITY TYPE:
772
ADDRESS:16552 SUNHILL DRIVETELEPHONE:
(760) 780-4400
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY:16CENSUS: 14DATE:
12/12/2025
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Jasmine Garibay, Quality Assurance CoordinatorTIME COMPLETED:
09:55 AM
ALLEGATION(S):
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Staff does not ensure adequate food portions are served to clients
Staff does not ensure facility is kept free of mal odors
Staff does not ensure facility is kept in clean sanitary conditions
Staff does not ensure medications are dispensed as prescribed
Staff dispensed medications not prescribed to clients
Staff denied client medications
Staff withheld clients personal property upon discharge
Staff spoke inappropriately to other adults while in the presence of clients
INVESTIGATION FINDINGS:
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On 12/12/2025 at 8:55 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA Serrano met with Quality Assurance Coordinator Jasmine Garibay to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation.

Allegation #1: Staff does not ensure adequate food portions are served to clients. – Based on information received during staff and client’s interviews, 5 out of 5 staff and 5 out 5 clients all stated that the facility provided adequate food portions to all the clients in care. Some of the clients stated that they can get second serving of food if they are still hungry. LPA is unable to corroborate the allegation.

Allegation #2: Staff does not ensure facility is kept free of mal odors - Based on interviews with clients and staff, 5 out of 5 staff and 5 out 5 clients all stated that the facility never smells any bad odors. LPA observed that the facility does not have a foul smell at the time of the visit. LPA was unable to corroborate the allegation
*** Continuation in LIC9099C ***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 56-AS-20251027095201
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: VALLEY STAR CRISIS RES. TREATMENT- DESERT HILL
FACILITY NUMBER: 361800189
VISIT DATE: 12/12/2025
NARRATIVE
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Allegation #3 Staff does not ensure facility is kept in clean sanitary conditions. - Based on observation and interviews with clients and staff. 5 out of 5 staff and 5 out 5 clients all stated that the facility is cleaned and sanitized. They all stated that the facility has a cleaning lady and a janitor that cleans the facility every day. LPA observed that the facility is clean. LPA is unable to corroborate the allegation.

Allegation #4 Staff does not ensure medications are dispensed as prescribed. – Based on interviews with clients and staff. 5 out of 5 staff and 5 out 5 clients all stated that the facility nurses dispensed the client’s medication as prescribed. Staff stated that they followed the electronic medication administration record (EMAR) for accuracy. LPA is unable to corroborate the allegation.

Allegation #5 Staff dispensed medications not prescribed to clients. – Based on interviews and information received during the investigation. 5 out of 5 staff and 5 out 5 clients all stated that the facility nurses never dispensed medication that is not prescribed for the clients. LPA is unable to corroborate the allegation.

Allegation #6 Staff denied client medications - Based on interviews with clients and staff. 5 out of 5 staff and 5 out 5 clients all stated that the facility nurses never denied the clients their medication. Staff stated that if the client missed the medication window within which they should take the medication or outside of the time band like 8-10AM, the nurses would call the doctor and get authorization to give the medication to the client even if it is past the med pass window.

Allegation #7 Staff withheld client’s personal property upon discharge – Based on the interviews with staff and clients, they all stated that the facility staff never withheld any client’s personal property. The only time that they hold some of the client’s property is if the client leaves against clinical advice or if they are not officially discharged. The staff then call the clients’ number on file to pick up their belongings that they will hold for about 2 weeks to a month until they are retrieved by the client.

Allegation #8 Staff spoke inappropriately to other adults while in the presence of clients - Based on the interviews with staff and clients, they all stated that they have not witnessed any facility staff speaking inappropriately to another adult in the presence of the clients. LPA is unable to corroborate the allegation.

Information received during investigation LPA did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Quality Assurance Coordinator Jasmine Garibay.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2