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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361881195
Report Date: 08/12/2026
Date Signed: 08/12/2026 02:01:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 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
12/18/2023 and conducted by Evaluator Eldin Serrano
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20231218110317
FACILITY NAME:PALM VIEW PLEASANT LIVINGFACILITY NUMBER:
361881195
ADMINISTRATOR:KARA RICHARDSONFACILITY TYPE:
740
ADDRESS:710 N CHURCH STREETTELEPHONE:
(909) 328-2118
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:40CENSUS: 33DATE:
08/12/2026
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Delcie Mucha, AdministratorTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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Staff fail to instantiate CPR that led to resident death.
Staff do not administer residents’ medications as prescribed.
Resident was found covered in feces.
Staff did not notify resident’s responsible party regarding resident’s falls.
Staff do not maintain sufficient food supply for residents in care.
Staff are not trained to conduct CPR.
Staff are not providing resident showers due to insufficient staff coverage
Staff did not immediately contact 911 during an imminent threat to resident's health.
INVESTIGATION FINDINGS:
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On 8/12/2026, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA explained the purpose of the visit to administrator Delcie Mucha. The investigation consisted of interviews with staff, residents, relevant parties and record reviews as well as observation.

Allegation 1: Staff fail to initiate CPR that led to resident death. - The POA stated CPR was not initiated to resident #1 (R1) until POA instructed staff by phone. Staff stated CPR was initiated immediately under direction of the 911 operator. No witnesses or documentation were available to confirm the CPR timeline. This allegation is unsubstantiated.

Allegation 2: Staff did not administer residents’ medications as prescribed. - The POA allegedly missed medications for R1. Four interviewed residents reported receiving medications on time. Staff reported maintaining medication training and procedures. Record review indicated that medication was administered on time and as prescribed. No evidence supported widespread medication mismanagement. This allegation is unsubstantiated.
*******continue on LIC9099C******
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
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-20231218110317
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: PALM VIEW PLEASANT LIVING
FACILITY NUMBER: 361881195
VISIT DATE: 08/12/2026
NARRATIVE
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Allegation 3: Resident was found covered in feces - The POA reported finding R1 in feces on multiple occasions. All interviewed residents denied being left in feces or witnessing such issues. Staff denied leaving residents soiled and described routine checks every 30–60 minutes. This allegation is unsubstantiated.

Allegation 4: Staff did not notify responsible party regarding resident's falls.- Residents interviewed denied falling or seeing residents who fell. Staff reported all falls involving R1 were communicated to the POA and responsible parties. Copy of incident report was submitted to CCLD. The POA did not provide specific unreported falls. This allegation is unsubstantiated.

Allegation 5: Staff do not maintain sufficient food supply for residents in care. - Residents reported receiving adequate meals and snacks. One resident on a renal diet noted limited choices but stated staff were addressing this. Staff reported ordering food twice weekly. Facility provided invoices of food ordered. LPA observed sufficient food supply for residents in care. This allegation is unsubstantiated.

Allegation 6: Staff are not trained to conduct CPR. - Staff interviews indicate CPR/First Aid training is completed and maintained. The facility director stated files are reviewed monthly and provided proof of CPR certificate. No evidence indicated staff lacked CPR certification. This allegation is unsubstantiated.

Allegation 7: Staff are not providing showers due to insufficient staff coverage. - Residents reported receiving showers according to their schedules or showering independently. POA concerns were related to preferred shower times, not lack of showers. Staff reported adequate coverage and provided resident’s shower schedule. This allegation is unsubstantiated.

Allegation 8: Staff did not immediately contact 911 during an imminent threat to resident's health. - The POA stated 911 was not called until after POA instructed staff. Staff stated 911 was called immediately. No documentation or witnesses confirmed the timing. This allegation is unsubstantiated.

Based on interviews and record review, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to administrator Delcie Mucha.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2