366424637-5-21-2025-56-AS-NBRN-DH6LQK-20250530085739

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366424637
Report Date: 05/21/2025
Date Signed: 05/21/2025 03:10:40 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
03/19/2025 and conducted by Evaluator Renese Howell-Small

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20250319104812

FACILITY NAME:	NEW DISCOVERY RESIDENTIAL SERVICES I		FACILITY NUMBER:	366424637
ADMINISTRATOR:	VIVIAN FRANCISCO		FACILITY TYPE:	735
ADDRESS:	26278 DATE STREET		TELEPHONE:	(909) 280-9644
CITY:	HIGHLAND	STATE: CA	ZIP CODE:	92346
CAPACITY:	6	CENSUS: 3	DATE:	05/21/2025
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Licensee, George Clardy		TIME COMPLETED:	03:03 PM

ALLEGATION(S):

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Uncleared adults are providing care and supervision
Staff mishandled a client's medications while in care

INVESTIGATION FINDINGS:

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On 05/21/2025 at 2:30PM Licensing Program Analyst (LPA) Renese Howell-Small met with Licensee, George Clardy during an in office meeting in order to deliver findings for the above allegations.

It is alleged that uncleared adults ae providing care and supervision. Staff state that S1 works as a Direct Service Professional II at the facility and all staff obtain a Criminal Record Clearance as part of the hiring process. LPA reviewed S1's employee file. S1 has a current Criminal Record Clearance and was permanently associated to the facility on 05/02/2016. Based on record review and interviews, this allegation is UNSUBSTANTIATED.

It is alleged that staff mishandled a client’s medications while in care. Staff state that they are trained in assisting clients with medication(s) and denied that medication(s) were mishandled. LPA audited Client 1’s (C1) medications and reviewed the MAR for the month of March. LPA reviewed the facility’s Medication Count Sheet and the Medication Documentation Sheet for the month of March.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

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-20250319104812

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: NEW DISCOVERY RESIDENTIAL SERVICES I	FACILITY NUMBER: 366424637
	VISIT DATE: 05/21/2025

NARRATIVE

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LPA observed the MAR and the facility’s documentation to be complete. LPA reviewed the Physician’s Order dated 03/24/2025 which states that C1 may skip the 10AM and lunch time dose of medication(s) when C1 is attending the daily program. Based on interviews, observation and record review, this allegation 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 provided to Licensee, George Clardy.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

LIC9099 (FAS) - (06/04)

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