361881195-10-12-2023-56-AS-NBRN-CWWLRQ-20231024085931

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881195
Report Date: 10/12/2023
Date Signed: 10/12/2023 02:41:47 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
10/10/2023 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20231010141440

FACILITY NAME:	PALM VIEW PLEASANT LIVING		FACILITY NUMBER:	361881195
ADMINISTRATOR:	KARA RICHARDSON		FACILITY TYPE:	740
ADDRESS:	710 N CHURCH STREET		TELEPHONE:	(909) 328-2118
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92374
CAPACITY:	20	CENSUS: 20	DATE:	10/12/2023
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Elizabeth Mahan, Administrator		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff are allowing children to provide care to residents at the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Elizabeth Mahan, Administrator and discussed the purpose of the visit.
Regarding the allegation, staff are allowing children to provide care to residents at the facility, LPA toured the facility and did not witness children providing care to residents. Administrator and (5) staff interviewed deny children are providing care to residents at the facility. Six (6) out of nine (9) residents interviewed stated that they have not witnessed children providing care to residents.
Based on LPA observations and interviews with pertinent parties, the allegation is Unsubstantiated. A finding that is Unsubstantiated means that 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.
An exit interview was conducted where this report was discussed, and a copy of this report with appeal rights was provided to the Administrator at the conclusion of the visit.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

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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