366405765-4-14-2026-56-AS-NBRN-DTCV6Y-20260421161020

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366405765
Report Date: 04/14/2026
Date Signed: 04/14/2026 03:11:04 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
07/29/2025 and conducted by Evaluator Becky Mann

COMPLAINT CONTROL NUMBER: 56-AS-20250729113253

FACILITY NAME:	CASA COLINA CENTERS FOR REHABILITATION/PADUA VILLA		FACILITY NUMBER:	366405765
ADMINISTRATOR:	STEPHANIE E. KAPLAN		FACILITY TYPE:	735
ADDRESS:	22200 HIGHWAY 18		TELEPHONE:	(760) 247-7711
CITY:	APPLE VALLEY	STATE: CA	ZIP CODE:	92307
CAPACITY:	54	CENSUS: 30	DATE:	04/14/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Candis Haslacker, Residential Manager		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff is dispensing clients prescribed medications to other staff for personal use
Staff does not ensure expired, discontinued medications are properly discarded

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 Candis Haslacker, Residential Manager 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 is dispensing clients prescribed medications to other staff for personal use. Four (4) staff interviewed denied dispensing clients prescribed medications to other staff for personal use. They stated that they have not taken clients medications from the med rooms and given it to other staff at the facility or another facility for personal use. Four (4) clients interviewed stated that there are no issues with their medications.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

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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Control Number 56-AS-20250729113253

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: 04/14/2026

NARRATIVE

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The allegation that Staff does not ensure expired, discontinued medications are properly discarded. Four (4) staff interviewed stated that expired and discontinued medications are properly discarded. Inside the med room, there is a hazardous waste pharmaceutical container that is used to discard expired and discontinued meds. LPA observed a destruction record log on how the facility properly discard the expired and discontinued medications.

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 Candis Haslacker, Residential Manager at the conclusion of the visit.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

LIC9099 (FAS) - (06/04)

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