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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366405765
Report Date: 05/23/2024
Date Signed: 05/23/2024 01:43:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
02/22/2024 and conducted by Evaluator Mary Rico
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240222141523
FACILITY NAME:CASA COLINA CENTERS FOR REHABILITATION/PADUA VILLAFACILITY NUMBER:
366405765
ADMINISTRATOR:RODNEY PEEKFACILITY TYPE:
735
ADDRESS:22200 HIGHWAY 18TELEPHONE:
(760) 247-7711
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:54CENSUS: 35DATE:
05/23/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Stephanie Kaplan and Maria Pinto TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff does not ensure client is treated with dignity and respect while in care.
Staff does not ensure client is provided access to personal articles.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Administrator Stephanie Kaplan and Residential Manager Maria Pinto and explained the purpose of the visit. The investigation consisted of staff interviews, client interviews and record review.

For the allegation, Staff does not ensure client is treated with dignity and respect while in care.

LPA Rico conducted 7 staff interviews. 7 out of the 7 staff informed LPA they respect their clients while in care and provide dignity.

LPA Rico conducted 5 client interviews. 5 out of the 5 clients stated they received respect and dignity while in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
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-20240222141523
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: CASA COLINA CENTERS FOR REHABILITATION/PADUA VILLA
FACILITY NUMBER: 366405765
VISIT DATE: 05/23/2024
NARRATIVE
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For the allegation, Staff does not ensure client is provided access to personal articles.

During staff interviews. 7 out of the 7 informed LPA that C1 is independent and has access to their own personal articles. 7 out of 7 staff stated they do not have access to their client's personal articles. 1 out of the 7 staff informed LPA that C1 had forgotten their password and had blame facility staff of changing their password.

During clients interviews 4 out of the 5 clients stated their family is responsible for their personal articles. Furthermore, C1 admitted to LPA they had accidentally forgotten their password to access their financial documents.

Based on the evidence found during the investigation, the two (2) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.



An exit interview was conducted, and this report was discussed and provided to Residential Manager Maria Pinto, along with a copy of the appeal rights.


SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2