366413073-12-3-2024-56-AS-EMAN-DC32U4-20241217164142

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366413073
Report Date: 12/03/2024
Date Signed: 12/03/2024 04:46:05 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
06/19/2024 and conducted by Evaluator Paola Guerrero

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240619083531

FACILITY NAME:	HERITAGE COURT ASSISTED LIVING		FACILITY NUMBER:	366413073
ADMINISTRATOR:	SCHLOTTMAN, JACOB		FACILITY TYPE:	740
ADDRESS:	275 GARNET WAY B		TELEPHONE:	(909) 204-5000
CITY:	UPLAND	STATE: CA	ZIP CODE:	91786
CAPACITY:	88	CENSUS: 50	DATE:	12/03/2024
		UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Ricardo Lara		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff do not prevent residents from using illegal drugs inside of the facility
Staff do not prevent resident from sexually harassing other resident(s) in care
Licensee does not ensure that residents are provided a safe and healthy living environment while in care
Staff did not provide the necessary assistance to resident to ensure that resident received Assisted Living Waiver Services

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Ricardo Lara and explained the purpose of the visit regarding the allegation stated above.

First allegation: Staff did not prevent residents from using illegal drugs inside the facility. The Investigation was conducted by Department staff who indicated that based on records facility has general policies which prohibits all residents the use of illegal drugs, and failure to comply can lead to termination of residence at the facility. Resident #1 was issued a 30-day eviction notice due to failure to comply with facility policies regarding the consumption of illegal drugs. Department staff conducted interviews with residents regarding facility allowing residents to consume illegal drugs, six out of six residents denied and acknowledge facility prohibiting policy regarding the consumption and possession of illegal drugs. In addition, during interviews all residents also acknowledge about knowing that a 30-day eviction notice will be issued to residents for non-compliance. Department staff conducted interviews with residents regarding neglect/and lack of care all residents denied the allegation and reported feeling safe at the facility,

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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-20240619083531

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: HERITAGE COURT ASSISTED LIVING	FACILITY NUMBER: 366413073
	VISIT DATE: 12/03/2024

NARRATIVE

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and all indicated that facility staff provides adequate supervision to residents and monitor all visitation throughout the facility.

Second allegation: Staff do not prevent resident from sexually harassing other resident(s) in care. Regarding the above allegation LPA conducted interviews with residents pertaining to the allegation stated above five out of six residents denied being sexually harassed by Resident #1. In addition, six residents denied witnessing Resident #2 being sexually harassed by Resident #1. LPA conducted interviews with staff which four staff denied allowing such behavior to take place at the facility. Four staff also denied witnessing resident sexually abusing other residents.

Third allegation: Licensee does not ensure that residents are provided a safe and healthy living environment while in care. Regarding the allegation stated above LPA conducted interview with residents where five out of five residents informed LPA of feeling safe at the facility. In addition, five out of five residents informed LPA that the environment at the facility is okay, and they have no health concerns.

Fourth allegation: Staff did not provide the necessary assistance to resident to ensure that resident received Assisted Living Waiver Services. Regarding the allegation stated above LPA conducted interview with Facility Administrator during the interview Facility Administrator informed LPA that Facility became aware that Resident #2 was not enrolled to Assisted Living Waiver. Administrator informed LPA that facility residents responsible party of the situation. Furthermore, Administrator provided documentation to LPA that revealed that facility was cooperating with resident and provided resident with a 60-day notice of new rate that resident will be paying while resident gets enrolled to Assisted Living Waiver. Due to corroborating evidence the department has determined that the alleged allegation is Unsubstantiated.

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 (LIC 9099) was discussed, and a copy was provided to Facility Administrator Ricardo Lara at the end of the visit.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

LIC9099 (FAS) - (06/04)

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