366405765-4-14-2026-56-AS-NBRN-DTCRNM-20260421131035

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366405765
Report Date: 04/14/2026
Date Signed: 04/14/2026 03:12:10 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-20250729095721

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):

1
2
3
4
5
6
7
8
9

Staff are inappropriately charging clients for services not needed
Staff are not meeting clients needs

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

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 are inappropriately charging clients for services not needed. Staff #1 (S1) stated that clients are being charged for services needed for the 1 to 1 clients. LPA observed a 1 to 1 log, the hours per day that each 1 to 1 client are being serviced at the facility. LPA observed the 1 to 1 clients documentation from their physicians order for their 1 to 1 services.

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)

Page: 1 of 2

Control Number 56-AS-20250729095721

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

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The allegation that Staff are not meeting clients needs. Three (3) staff interviewed stated that staff are meeting the clients needs. The 1 to 1 clients are being assisted based on their hours approved by their physicians order. Four (4) clients interviewed stated that their 1 to 1 staff do assist them when needed. They stated that staff are doing their jobs and they feel safe with the staff.

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)

Page: 2 of 2