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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880612
Report Date: 03/27/2025
Date Signed: 03/27/2025 12:55:36 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
12/04/2023 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20231204084324
FACILITY NAME:HAMILTON HOMEFACILITY NUMBER:
361880612
ADMINISTRATOR:VANCE, KIERSTENFACILITY TYPE:
740
ADDRESS:940 STILLMAN AVETELEPHONE:
(909) 801-7055
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:0CENSUS: 0DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Regina ChavezTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility staff do not treat residents with dignity
Facility staff verbally abuse residents
Facility staff leaves resident in bed all day
Facility staff handled resident in a rough manner
Facility staff isolates resident in their room
Facility staff unsafely assisted resident during showering resulting in a fall
Facility staff unsafely maneuvers resident while in wheelchair
Resident sustained multiple unexplained injuries while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation and deliver the findings on the above allegations. LPA met with Administrator, Regina Chavez, was granted entry and informed the purpose of the visit.

Regarding the allegation, facility staff do not treat residents with dignity, all five (5) staff interviewed deny the allegation. Four (4) out of five (5) residents interviewed deny that staff do not treat them with dignity.

Regarding the allegation, facility staff verbally abuse residents, all five (5) staff interviewed deny the allegation. Four (4) out of five (5) residents interviewed deny being verbally abused by staff.

Regarding the allegation, facility staff leaves resident in bed all day, all five (5) staff interviewed deny the allegation. Four (4) out of five (5) residents interviewed deny that staff leave them in bed all day.
**continued on next page***
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda MalcoreTELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
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-20231204084324
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: HAMILTON HOME
FACILITY NUMBER: 361880612
VISIT DATE: 03/27/2025
NARRATIVE
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Regarding the allegation, facility staff handled resident in a rough manner, five (5) staff interviews and five (5) resident interviews reveal insufficient evidence to corroborate the allegation.

Regarding the allegation, facility staff isolates resident in their room, all five (5) staff interviewed deny the allegation. Four (4) out of five (5) residents interviewed deny that staff isolate them in their room.

Regarding the allegation, facility staff unsafely assisted resident during showering resulting in a fall, all five (5) staff interviewed deny the allegation. Four (4) out of five (5) residents deny that staff have unsafely assisted them in the shower resulting in a fall.

Regarding the allegation, facility staff unsafely maneuvers resident while in wheelchair, all five (5) staff interviewed deny the allegation. Four (4) out of five (5) residents interviewed deny that staff unsafely maneuver residents while in the wheelchair.

Regarding the allegation, resident sustained multiple unexplained injuries while in care, five (5) staff interviews and five (5) residents interviews reveal insufficient evidence to corroborate the allegation.

Based on information obtained during the investigation, the allegations are Unsubstantiated. A finding of Unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and a copy with Appeal Rights was provided to Administrator Chavez at the conclusion of the visit

SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda MalcoreTELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2