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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366412371
Report Date: 09/06/2022
Date Signed: 09/06/2022 11:00:33 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/01/2022 and conducted by Evaluator Anna Bueno
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20220901111746
FACILITY NAME:BRIDGET BARCUS ARFFACILITY NUMBER:
366412371
ADMINISTRATOR:BARCUS, BRIDGETFACILITY TYPE:
735
ADDRESS:15540 CHOLE RDTELEPHONE:
(760) 242-4230
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:4CENSUS: 4DATE:
09/06/2022
UNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:Bridget BarcuTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Staff were drinking alcohol while on duty
Staff do not safeguard residents medication
Staff sleep while on duty
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to initiate a complaint investigation to the above allegations and deliver findings. LPA met with licensee Bridget Barcus and staff Vanessa Maldonado who was informed of the reason for today’s visit. LPA discussed with Licensee the purpose of the visit and the elements of the allegations. The investigation included inspection of the facility, staff and client interviews, and review of facility records. Licensee left the facility before the conclusion of today’s visit.

Allegation 1: Staff were drinking alcohol while on duty. Interviews reveal that no staff have been observed drinking alcohol in the facility by any client. Client and staff interviews made known that alcohol is not kept and/or consumed in the facility. LPA did not observe any alcoholic beverage in this facility.
Allegation 2: Staff do not safeguard residents’ medication. Client interviews revealed that clients have no access to their medications and are receiving their medications timely from staff. LPA observed that the medication cabinet is secured and locked.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Anna Bueno
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2022
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-20220901111746
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: BRIDGET BARCUS ARF
FACILITY NUMBER: 366412371
VISIT DATE: 09/06/2022
NARRATIVE
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Allegation 3: Staff sleep while on duty. It was made known through client interviews that live-in staff only live inside their bedroom. LPA observed a staff bedroom for live in staff and staff and clients verified that this information. Interviews with staff and clients also reveal that staff do not sleep on the couch but clients and staff sit on the couches to watch television. LPA observed one staff and three clients in different sitting areas, but none were asleep.

Based on the available information, we have found the complaint allegations to be UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Vanessa Maldonado at the conclusion of the visit.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Anna Bueno
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2