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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880801
Report Date: 04/17/2025
Date Signed: 04/17/2025 03:10:56 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
04/08/2025 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250408154836
FACILITY NAME:JASMIN TERRACE AT YUCCA VALLEYFACILITY NUMBER:
361880801
ADMINISTRATOR:MICHAEL GARCIAFACILITY TYPE:
740
ADDRESS:55425 SANTA FE TRAILTELEPHONE:
(760) 365-0887
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:85CENSUS: 60DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Michael GarciaTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility staff does not keep facility common areas free of malodorous odors
Facility air conditioning is not working properly
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannouced visit to the facility to conduct a complaint investigation. LPA Malcore met with Administrator, Michael Garcia, and informed the purpose of the visit.

Regarding the allegation, facility staff does not keep facility common areas free of maldorous odors, LPA conducted a tour of the facility. LPA observed a mild scent of cleaning solutions and air freshers in facility entryways, hallways, visitors bathrooms, activity and dining areas. Four (4) out of five (5) resident interviews reveal that they have not observed malodorous odors in the facility's common areas. The Administrator and three (3) staff interviews reveal that the facility's common areas are cleaned daily to prevent malodorous odors.

Regarding the allegation, facility air conditioning is not working properly, LPA observed the air conditioning was operating during visit. Five (5) out of five (5) residents interviews reveal the air conditioning/heater is operating properly and the their rooms are maintained at a comfortable temperature for them.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
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-20250408154836
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: JASMIN TERRACE AT YUCCA VALLEY
FACILITY NUMBER: 361880801
VISIT DATE: 04/17/2025
NARRATIVE
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Based on LPA observations, resident and staff interviews, the allegations mentioned in this complaint 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. A copy with appeal rights was provided to Administrator Garcia at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2