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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366423857
Report Date: 02/20/2025
Date Signed: 02/20/2025 02:42:15 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
09/21/2023 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20230921160607
FACILITY NAME:MCKINLEY CARE HOMEFACILITY NUMBER:
366423857
ADMINISTRATOR:APRILLELYN PANALIGANFACILITY TYPE:
735
ADDRESS:9895 MCKINLEY ST.TELEPHONE:
(909) 944-9360
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:4CENSUS: 4DATE:
02/20/2025
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Administrator April PanaliganTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Resident sustained unexplained injuries while in care.
Staff physically abused resident while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegations mentioned above. LPA met with Administrator April Panaligan and explained the purpose of the visit. The Department's investigation involved interviews and records review.

The allegations alleged that resident (R1) sustained unexplained injuries and was physically abused by staff. Interviews with facility staff indicated that the resident (R1) was not harmed while in care and had no bruises before leaving the facility. R1 had a history of behavioral outbursts requiring staff intervention. R1 had a physical altercation on 8/18/23, leading to 911 being called and R1 was transported to the hospital. At the hospital, R1 continued their outburst and was restrained. Injuries to R1 were noticed four days after hospitalization.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
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 2
Control Number 56-AS-20230921160607
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: MCKINLEY CARE HOME
FACILITY NUMBER: 366423857
VISIT DATE: 02/20/2025
NARRATIVE
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R1 could not be interviewed due to agitation and incoherent speech. There was insufficient evidence to determine if the bruises were caused by others or self-inflicted.

Therefore, the alleged allegations have been determined Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is 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 Administrator April Panaligan
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2