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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880801
Report Date: 06/16/2026
Date Signed: 06/16/2026 03:51:07 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
01/07/2026 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260107125029
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: 63DATE:
06/16/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Michael GarciaTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff are not ensuring the facility is free of bed bugs
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 allegation. LPA met with Administrator Michael Garcia and informed the purpose of the visit.

Regarding the allegation that staff are not ensuring the facility is free of bed bugs, it was alleged that bed bugs were observed in common areas and in bedrooms #104 and #137. LPA conducted a tour of the common areas and did not observe any bed bugs. In addition, interviews with staff and residents revealed that the common areas are cleaned daily. Regarding bedroom #104, LPA did not observe bed bugs, and no residents were occupying the bedroom. LPA also observed a protective cover on the mattress, and the bedroom and floors were observed to be clean. Documentation reveals that the room was heat treated to ensure it was free of bed bugs for a future resident.

**continued on LIC9099-C***


Unsubstantiated
Estimated Days of Completion:
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
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-20260107125029
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 bedroom #137, interviews with staff and the two residents occupying the bedroom revealed that on or around January 4, 2026, staff observed bed bugs in the bedroom. Staff removed the bedding and checked residents for bug bites. Staff chemically treated and then heat-treated the bedroom. The carpet was replaced with new flooring and the rooms were painted. The two residents were temporarily relocated to another room until the treatment was completed, and no further signs of bed bugs were observed.

Based on interviews with pertinent parties and observations, the allegation is 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 provided to the 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)
Page: 2 of 2