361880801-3-16-2026-56-AS-KCLS-DSJTZW-20260326151058

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880801
Report Date: 03/16/2026
Date Signed: 03/16/2026 02:43:04 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
01/04/2024 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240104144140

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: 63	DATE:	03/16/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Maria Molina & Michael Garcia		TIME COMPLETED:	02:41 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not meet residents dietary needs
Staff do not provide residents snacks between meals
Staff do not ensure facility bathroom doors are in good repair
Staff do not intervene when residents engage in physical altercations
Staff did not safeguard resident’s belongings
Staff kicked resident
Staff yell at residents
Staff do not ensure facility showers are in good repair

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced facility visit to conclude the investigation on the above allegations. LPA met with Assisting Administrator Maria Molina and Administrator, Michael Garcia, who were informed of today’s visit. The investigation consisted of department observations, reviewing pertinent records, and interviews with staff and residents.

Regarding allegation #1, staff do not meet resident’s dietary needs, resident interviews indicate that their dietary needs are being met. Interviews with staff also confirm that residents’ dietary needs are being met.

Regarding allegation #2, staff do not provide residents snacks between meals, Six (6) out of seven (7) resident interviews indicate that staff do provide snacks between meals. Staff interviews indicate that they provide residents with snacks between meals.
**continued on LIC9099-C**

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

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-20240104144140

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: 03/16/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding allegation #3, staff do not ensure facility bathroom doors are in good repair, during the department’s investigation, five (5) resident showers doors were observed to be in good repair.

Regarding allegation #4, staff do not intervene when residents engage in physical altercations, residents and staff interviews do not indicate that staff do not intervene when residents engage in physical altercations.

Regarding allegation #5, staff did not safeguard resident’s belongings, resident and staff interviews indicate not enough evidence to corroborate the allegation that staff did not safeguard resident belongings.

Regarding allegation #6, staff kicked resident, resident interviews indicate that staff have not kicked them. Staff interviews indicate that they have not kicked residents.

Regarding allegation #7, staff yell at residents, six (6) out of seven (7) resident interviews indicate that staff have not yelled at them. Staff interviews indicate that they have not yelled at a resident.

Regarding allegation #8, staff do not ensure facility showers are in good repair, during the department’s investigation, five (5) resident showers were observed to be in good repair.

Based on the Department’s investigation, the allegations mentioned in this report are Unsubstantiated. An Unsubstantiated finding means, although the allegation(s) may have happened or is/are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed and provided to Administrator Garcia.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2