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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366400732
Report Date: 06/17/2025
Date Signed: 06/17/2025 03:28:41 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
06/09/2025 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20250609142319
FACILITY NAME:ADULT BASIC LEARNING ENVIRONMENT, INC.FACILITY NUMBER:
366400732
ADMINISTRATOR:CAROL SANTA CRUZFACILITY TYPE:
775
ADDRESS:1910 ORANGETREE LANE SUITE 340TELEPHONE:
(909) 335-3030
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:45CENSUS: 35DATE:
06/17/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Program Director Candace SmithTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff are not cleaning/disinfecting the faciltiy properly
Staff are not trainined on how to use a hoyer lift
Staff do not keep a comfortable temperature for clients
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Program Director Candace Smith, and discussed the purpose of the visit.

Regarding allegation #1, LPA conducted staff interviews and staff have informed LPA the facility is moped with hot water and dawn soap, all other surfaces such as doorknobs and counters are wiped down with disinfectant wipes. Staff wipe down changing tables after each change, the facility entirely is wiped down with disinfectant at the end of day. Staff are advised to use clean gloves for each client being changed.

Regarding allegation #2, Staff stated the hoyer lift is broken therefore staff have not been trained to use the hoyer lift.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
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 4
Control Number 56-AS-20250609142319
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: ADULT BASIC LEARNING ENVIRONMENT, INC.
FACILITY NUMBER: 366400732
VISIT DATE: 06/17/2025
NARRATIVE
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Regarding allegation #3, LPA interviewed five (5) clients, three (3) of these clients stated the facility is at a good temperature and two (2) clients stated sometimes the facility is hot in the back and sometimes cold.

LPA interviewed four (4) staff, 3 of 4 staff stated in the past the facility is often hot, however the last couple of weeks the facility has been cooler. LPA observed the facility thermostat to be 71 degrees F.

Based on LPA's observations, record reviews, and interviews, the above allegations are unsubstantiated. This 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 a copy was provided to Program Director Candace Smith at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
06/09/2025 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20250609142319

FACILITY NAME:ADULT BASIC LEARNING ENVIRONMENT, INC.FACILITY NUMBER:
366400732
ADMINISTRATOR:CAROL SANTA CRUZFACILITY TYPE:
775
ADDRESS:1910 ORANGETREE LANE SUITE 340TELEPHONE:
(909) 335-3030
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:45CENSUS: DATE:
06/17/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Program Director Candace SmithTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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2
3
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5
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9
Satff are not following client ratios
INVESTIGATION FINDINGS:
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5
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Program Director Candace Smith, and discussed the purpose of the visit.

Regarding allegation above, Program Director stated facility ratio is 2:1, however facility does not have a weekly schedule for staff. LPA interviewed four (4) staff and all whom stated staff arrive at different times based on the clients they will be assisting. Program Director provided a list of staff and times for the staff that were assigned to work for that day.

Based on the evidence gathered during the investigation, the above allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where this report (LIC 9099), LIC 9099D was discussed, and a copy was provided, along with a copy of the appeal rights to Program Director Candace Smith.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 56-AS-20250609142319
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: ADULT BASIC LEARNING ENVIRONMENT, INC.
FACILITY NUMBER: 366400732
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2025
Section Cited
CCR
82066(e)
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82066 Personnel Records
(e) In all cases, personnel records shall document the hours actually worked.
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Program Director has agreed to create a staff schedule and provide sample to LPA by POC due date.
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Based on observations, record review, and interviews, the licensee failed to have a staff schedule which can pose a potential Health, Safety, or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4