361880801-12-9-2023-56-AS-KCLS-CYMRQ8-20231218121304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880801
Report Date: 08/23/2023
Date Signed: 12/09/2023 02:42:30 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2023 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20230814142101

FACILITY NAME:	JASMIN TERRACE AT YUCCA VALLEY		FACILITY NUMBER:	361880801
ADMINISTRATOR:	MICHAEL GARCIA		FACILITY TYPE:	740
ADDRESS:	55425 SANTA FE TRAIL		TELEPHONE:	(760) 365-0887
CITY:	YUCCA VALLEY	STATE: CA	ZIP CODE:	92284
CAPACITY:	85	CENSUS: 68	DATE:	08/23/2023
		UNANNOUNCED	TIME BEGAN:	03:40 PM
MET WITH:	Michael Garcia Administrator		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Staff left residents in soiled diapers for an extended period of time.
Staff are inappropriately bribing residents.
Staff are not providing a comfortable environment for residents.
Facility is dirty.
Facility has pests.
Facility floors are in disrepair.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate and deliver findings for the mentioned allegations. LPA Allen met with Michael Garcia Administrator who was informed of the visit.

The investigation consisted of interviews with seven (7) residents, six (6) staff members, and documents were reviewed.

The residents and staff were interviewed and all stated residents are checked on every 2-3 hours or as needed. LPA was unable to determine which resident was left in soiled linen and diapers for an extended period. The residents interviewed by LPA who were incontinent stated they are assisted as needed and have not been left soiled for a long period of time and did not know of any other resident left unassisted.
LPA interviewed residents regarding staff inappropriately bribing them and they all have stated staff members have not tried to bribe them for any reason nor has any other resident to their knowledge been bribed by staff members.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette Allen	TELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2023

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-20230814142101

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: JASMIN TERRACE AT YUCCA VALLEY	FACILITY NUMBER: 361880801
	VISIT DATE: 08/23/2023

NARRATIVE

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The residents also stated that they are comfortable in their environment considering their circumstances and they have not recently experienced having or seen bugs or pests because a pest control company comes out on a regular basis. LPA also observed documents that show monthly pest control has been put in place.

The residents and staff members have stated the facility is cleaned daily and during LPA's visit there were staff members cleaning rooms and common areas.

During the tour of the facility LPA did not observe facility floors in disrepair and the main shower room had been repaired from prior water damage. LPA did observe unoccupied rooms being renovated or cleaned because of rain damage and there were no residents or furniture in those rooms.

Michael Garcia has also stated he is in the process of hiring more staff members and he will be utilizing staffing agencies to assist with the staffing concerns and provided the name of the company that will be used.

Based on interviews conducted, documents reviewed and observations, the allegations above are unsubstantiated. A finding of unsubstantiated means although the allegations 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 Michael Garcia where the report was discussed and provided at the conclusion of the visit with appeal rights.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette Allen	TELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2023

LIC9099 (FAS) - (06/04)

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