361881195-11-3-2023-56-AS-KCLS-CXJU2B-20231113141137

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881195
Report Date: 11/03/2023
Date Signed: 11/03/2023 11:04:54 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
10/31/2023 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20231031163004

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: 19	DATE:	11/03/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Elizabeth Mahan, Administrator		TIME COMPLETED:	11:05 AM

ALLEGATION(S):

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Unlawful eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Administrator, Elizabeth Mahan and discussed the purpose of the visit.
Regarding the allegation, unlawful eviction, On 7/18/2023, the facility issued a thirty-day eviction notice to Resident #1 (R1) for unpaid rent. LPA reviewed the eviction notice which included key elements: reason for eviction, effective date, facility referrals, and a statement informing the resident of their right to file a complaint with the licensing agency and Ombudsman. During today's visit, LPA found that R1 is still residing at the facility.
Based on LPA observations, pertinent record review and interviews with relevant parties, the allegation is Unsubstantiated.
An exit interview was conducted were 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: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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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