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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880931
Report Date: 08/20/2024
Date Signed: 08/20/2024 09:20:44 AM

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
06/03/2024 and conducted by Evaluator Mary Rico
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240603132900
FACILITY NAME:GEMMA'S CARE CENTERFACILITY NUMBER:
361880931
ADMINISTRATOR:NASAL, MICHAELFACILITY TYPE:
735
ADDRESS:2950 ROAN STREETTELEPHONE:
(909) 218-7025
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:6CENSUS: 6DATE:
08/20/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Anamaria ConroyTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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2
3
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8
9
Staff yells at clients in care.
Staff are not reporting incidents involving clients in care.
Staff do not have activities for clients in care.
INVESTIGATION FINDINGS:
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2
3
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5
6
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9
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13
Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Administrator Anamaria Conroy and explained the purpose of the visit. The investigation consisted of staff interviews, client interviews and record review.

For the allegation, Staff yell at clients in care.

During staff interviews 4 out of the 4 staff informed LPA that they do not yell at their clients. 3 out of the 4 staff stated they have not witness other staff members yell at their clients.

During client interviews, 6 out of the 6 clients stated they have not been yelled at.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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-20240603132900
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: GEMMA'S CARE CENTER
FACILITY NUMBER: 361880931
VISIT DATE: 08/20/2024
NARRATIVE
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For the allegation, Staff are not reporting incidents involving clients in care.

During staff interviews 4 out of the 4 staff stated if an incident were to occur, they will report to Inland Regional Center and Community Care Licensing.

For the allegation, Staff do not have activities for clients in care.

During staff interview 4 out of the 4 staff stated they provide activities before day program and after day program. In addition they attend the movies, shopping center and amusement parks on the weekends.

During client interviews 4 out of the 6 clients stated that the facility provides a lot of activities. 2 out of the 6 clients stated they do not like to participate in activities.

During record review, LPA Rico received facility’s activities calendar. The activity calendar included outdoor and site seeing.

Based on the evidence found during the investigation, the three (3) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.


An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Anamaria Conroy

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
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