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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366405765
Report Date: 11/04/2025
Date Signed: 11/04/2025 02:42:16 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
08/04/2025 and conducted by Evaluator Lavette Farlow
COMPLAINT CONTROL NUMBER: 56-AS-20250804092752
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: 30DATE:
11/04/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Stephanie Kaplan, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff are not keeping facility at a comfortable temperature
Facility washer has mold
INVESTIGATION FINDINGS:
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On November 4, 2025, Licensing Program Analyst (LPA) LaVette Farlow and Becky Mann conducted an unannounced visit to the facility to conclude the investigation of the above allegations and deliver complaint investigation findings. LPAs identified themselves to Case Manager, Maria Pinto who granted LPAs entry into the facility. Maria notified Administrator Stephanie Kaplan of LPAs arrival. LPAs informed Stephanie of the reason for today’s visit. The investigation included staff, resident’s interviews and record review.

On August 4, 2025, the Department received a complaint with multiple allegations.

Allegation 1: Staff are not keeping facility at a comfortable temperature. It was alleged that the facility is not maintaining a comfortable temperature for clients in care. Interviews and observation revealed that the temperature is maintain within regulation. On August 4, 2025 LPAs observed the temperature to range between 74-78 degrees Fahrenheit. On November 4, 2025, LPAs observed six (6) thermostats and the temperature range from 69, 69, 72, 70, 75, and 71 degrees Fahrenheit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
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
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
08/04/2025 and conducted by Evaluator Lavette Farlow
COMPLAINT CONTROL NUMBER: 56-AS-20250804092752

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: 30DATE:
11/04/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Stephanie Kaplan, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility washer has mold
INVESTIGATION FINDINGS:
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Allegation: Facility washer has mold. It is alleged that the facility is not maintaining a clean and sanitary washing machines in the laundry room. LPA observed the facility did have mold in several washing machine. LPAs interview with staff revealed that the mold was observed. LPA interview with S7 revealed that the facility has implemented measures to maintain and wipe down the washer daily. Based on interview and LPA observations, the allegation is substantiated.

Based on LPA observations, interviews which were conducted and records review, the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division) are being cited on the attached LIC 9099D).

A deficiency was cited as part of the California Code of Regulations, Title 22. An exit interview was conducted where this report, LIC9099, LIC9099C, LIC9099A, LIC9099D, and appeal rights were discussed and provided to Program Director, Rosa Tucker.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 56-AS-20250804092752
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/18/2025
Section Cited
CCR
85088(d)
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85088 (d) If the facility operates its own laundry, necessary supplies shall be available and equipment shall be maintained in good repair.
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Administrator agrees to implement a plan of operation to maintain and clean the washer daily. Administrator will provide LPA a plan of operation and statement of understanding to maintain a sanitation of washer by POC due date.
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Based on interview and records review, the Licensee did not comply with the section cited above by not ensuring the facility washer were free of mold and clean which poses potential health, safety and personal rights risk to client 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: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 56-AS-20250804092752
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: 11/04/2025
NARRATIVE
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LPAs interviewed staff and clients. LPA interview with S7 revealed that the facility has a contract with Ontario Air and they come to the facility monthly to service the air condition during the summer. S7 stated some client feel the temperature is hot and other think its too cold. S7 stated the facility temperature range from 68-74 degrees Fahrenheit. S7 stated the facility purchased fans for clients to maintain comfortable temperature in those areas of concern. LPA interviewed five (5) out of five (5) clients in care. 5 out of 5 clients stated the temperature is maintained at a comfortable level. LPA was unable to obtain any evidence to substantiate that the facility is not able to maintain a comfortable temperature in the facility. Based on interviews and LPA observations, the allegation is unsubstantiated.

Based on interviews, observations, and record review, the allegation that the staff are not keeping the facility at a comfortable temperature for clients in care is UNSUBSTANTIATED. UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and a copy was provided to Program Director, Rosa Tucker.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4