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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880801
Report Date: 10/24/2025
Date Signed: 10/24/2025 02:35:17 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
10/23/2023 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20231023151043
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: 61DATE:
10/24/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Michael GarciaTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure residents receive medications in a timely manner
Staff do not ensure residents' medication records are maintained
Staff do not ensure feeding assistance is provided to residents in care
Staff do not conduct scheduled recreational activities for residents
Staff leave residents in soiled clothing for extended periods of time
Staff do not ensure residents have clean linens
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint investigation at the facility. LPA met with Assisting Administrator Maria Molina and Administrator Michael Garcia and discussed the purpose of the visit. The investigation consisted of observations, reviewing pertinent records, and interviews with relevant parties.

Regarding allegation#1, staff do not ensure residents receive medications in a timely manner, six (6) resident interviews and five (5) staff interviews revealed that staff are ensuring residents receive their medications in a timely manner.

Regarding allegation #2, staff do not ensure residents’ medication records are maintained, LPA review of five (5) resident medications records revealed that staff are ensuring residents’ medication records are maintained.
**continued on LIC9099C**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
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-20231023151043
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: 10/24/2025
NARRATIVE
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Regarding allegation #3, staff do not ensure feeding assistance is provided to residents in care, interviews with six (6) residents and five (5) staff revealed not enough evidence to corroborate the allegation that staff do not ensure feeding assistance is provided to residents in care.

Regarding allegation #4, staff do not conduct scheduled recreational activities for residents, interviews with six (6) residents and five (5) staff revealed that staff do conduct scheduled recreational activities for residents. In addition, LPA observed activities calendars posted in assisting living and memory care common areas.

Regarding allegation #5, staff leave residents in soiled clothing for extended periods of time, interviews with six (6) residents and five (5) staff revealed that staff do not leave residents in soiled clothing for extended periods of time.

Regarding allegation #6, staff do not ensure residents have clean linens, interviews with six (6) residents and five (5) staff revealed that staff do ensure residents have clean linens. In addition, LPA observed clean linen stored in assisting living and memory care areas.

Based on the Department’s investigation, the allegations mentioned in this report 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 was provided with appeal rights to Administrator Garcia at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2