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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366405765
Report Date: 12/30/2025
Date Signed: 12/30/2025 05:08:35 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
07/15/2025 and conducted by Evaluator Becky Mann
COMPLAINT CONTROL NUMBER: 56-AS-20250715115356
FACILITY NAME:CASA COLINA CENTERS FOR REHABILITATION/PADUA VILLAFACILITY NUMBER:
366405765
ADMINISTRATOR:STEPHANIE E. KAPLANFACILITY TYPE:
735
ADDRESS:22200 HIGHWAY 18TELEPHONE:
(760) 247-7711
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:54CENSUS: 32DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:J. Rosa Tucker, Program DirectorTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Staff left clients unsupervised resulting in injuries
Staff provided drugs to clients in care
Staff are injecting clients in care
Staff mismanaged client's medication
Staff is not properly trained
Staff did not arrange transportation services for clients in care
Facility is not kept free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with J. Rosa Tucker, Program Director and explained the purpose of the visit. The investigation consisted of LPA pertinent record reviews, observations and interviews with staff and clients.
The allegation that staff left clients unsupervised resulting in injuries. Four (4) staff interviewed stated that they have not left clients unsupervised resulting in injuries. Seven (7) clients interviewed stated that staff have not left them unsupervised resulting in injuries.

The allegation that staff provided drugs to clients in care. Four (4) staff interviewed stated that they have not provided drugs to clients. Eight (8) clients interviewed stated that staff have not provided drugs to them.

The allegation that staff are injecting clients in care. Four (4) staff interviewed stated that they have not injected clients. Eight (8) clients interviewed stated that staff have not injected them shots and/or insulin.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
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 2
Control Number 56-AS-20250715115356
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: CASA COLINA CENTERS FOR REHABILITATION/PADUA VILLA
FACILITY NUMBER: 366405765
VISIT DATE: 12/30/2025
NARRATIVE
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The allegation that staff mismanaged client's medication. Four (4) staff interviewed stated that refills are being requested on time for clients medications. LPA reviewed three (3) random clients medications, there are refills available and are being filled on time. Seven (7) clients interviewed stated that their medications are being refilled on time with no issues.

The allegation that staff is not properly trained. Based on LPAs observations, interviews and record reviews, all medtechs are properly trained. MAR (Medication Administration Record) review revealed that medication is administered as prescribed.

The allegation that staff did not arrange transportation services for clients in care. Four (4) staff interviewed stated that they do arrange transportation services for clients. Seven (7) clients interviewed stated that staff do arrange transportation services for them.

The allegation that facility is not kept free of pests. Based on LPAs observations and record reviews, the facility does have a pest control company that comes to the facility monthly for the treatments. Based on LPAs observations, the facility is clean and sanitary and did not observe any signs of pests.

Based on evidence obtained during this investigation, the allegations above are Unsubstantiated; meaning 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 was provided to J. Rosa Tucker, Program Director at the conclusion of the visit.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2