361880801-6-16-2026-56-AS-KCLS-DVHRJV-20260629130431

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880801
Report Date: 06/16/2026
Date Signed: 06/16/2026 04:02:14 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
01/16/2024 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240116094042

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:	06/16/2026
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Michael Garcia		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Facility staff did not safeguard resident's valuables
Facility staff did not assist resident with ambulating as needed
Facility staff did not ensure resident was properly clothed
Facility staff did meet resident's bathing needs
Facility staff are not properly addressing roaches in the facility
Facility staff are not providing medical records to resident's family

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the investigation and deliver the findings on the on the above allegations. LPA met with Administrator Michael Garcia and informed the purpose of the visit.
Regarding Allegation #1, facility staff did not safeguard resident’s valuables, it was alleged that staff did not safeguard Resident #1’s (R1’s) belongings. LPA was unable to interview R1 due to R1 passing away in December 2023. Interviews with five (5) staff and five (5) residents reveal that there are not enough witnesses to corroborate the allegation that staff did not safeguard the residents’ valuables.

Regarding Allegation #2, facility staff did not assist resident with ambulating as needed, interviews with five (5) staff and five (5) residents reveal that staff do assist residents with their ambulating needs.

Regarding Allegation #3, facility staff did not ensure resident was properly clothed, interviews with five (5) staff and five (5) residents reveal that staff do ensure residents are properly clothed.
**continued on LIC9099-C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

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-20240116094042

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: 06/16/2026

NARRATIVE

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Regarding Allegation #4, facility staff did not meet residents’ bathing needs, interviews with five (5) staff and five (5) residents reveal that staff do meet residents’ bathing needs.

Regarding Allegation #5, facility staff are not properly addressing roaches in the facility, interviews with five (5) staff and four (4) out of five (5) residents reveal that the facility does have a pest control company that inspects and treats the facility for roaches and other insects. LPA also observed that the facility has an active contract with a pest control company.

Regarding Allegation #6, facility staff are not providing medical records to resident’s family, it was alleged that facility staff did not provide Resident #2 (R2's) medical records when requested by R2’s family. Interviews with staff and outside parties reveal there is not enough evidence to corroborate the allegation that staff are not providing medical records to residents’ family. LPA was unable to interview R2 due to R2 passing away in November 2023.

Based on pertinent record review and interviews with relevant parties, the allegations 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 and a copy provided to Administrator Garcia at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

LIC9099 (FAS) - (06/04)

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