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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366424637
Report Date: 05/21/2025
Date Signed: 05/21/2025 03:08:34 PM

Substantiated


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
02/04/2025 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20250204135028
FACILITY NAME:NEW DISCOVERY RESIDENTIAL SERVICES IFACILITY NUMBER:
366424637
ADMINISTRATOR:VIVIAN FRANCISCOFACILITY TYPE:
735
ADDRESS:26278 DATE STREETTELEPHONE:
(909) 280-9644
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:6CENSUS: 3DATE:
05/21/2025
ANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee, George ClardyTIME COMPLETED:
03:03 PM
ALLEGATION(S):
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Staff do not follow client's behavior plan
Staff do not have criminal record clearance
INVESTIGATION FINDINGS:
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On 05/21/2025 at 2:00PM Licensing Program Analyst (LPA), Renese Howell-Small met with Licensee, George Clardy during an in office meeting to deliver findings for the complaint investigation into the allegations listed above.

It is alleged that staff do not follow client's behavior plan. LPA reviewed the behavior plan for Resident 1 (R1) dated 01/17/2025. LPA also conducted a telephone interview with the Behavior Analyst on 02/04/2025. LPA interviewed eight (8) staff and conducted a review of records. Based on interviews and record review, the staff and behaviorist have stated that staff are not following R1's behavior plan. Therefore, this allegation is SUBSTANTIATED.
Substantiated
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)
Page: 1 of 4
Control Number 56-AS-20250204135028
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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It is alleged that staff do not have criminal record clearance. LPA interviewed staff, interviewed relevant parties, and conducted a records review. Interviews with staff revealed that Staff 8 (S8) provides maintenance and delivers inventory to the facility on a weekly basis. S8 also provides instruction and direction to facility staff on a consistent basis including providing Crisis Prevention Intervention (CPI) training. S8 does not have a criminal record clearance on file with the Department. Based upon the preponderance of evidence, S8 is acting in the capacity of an employee. Therefore, this allegation is SUBSTANTIATED. An immediate civil penalty will be issued.

A SUBSTANTIATED finding is defined as a violation has occurred based on the preponderance of available evidence.

An exit interview was conducted where this report LIC9099, LIC9099C, LIC9099D and Appeal Rights were 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)
Page: 2 of 4
Control Number 56-AS-20250204135028
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/30/2025
Section Cited
CCR
85068.2(a)(3)(G)(c)
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85068.2 Needs and Services Plan(a)(3)(G)(c) (a) Prior to admission... facility's program can meet the prospective client's service needs... c. Techniques,...help the person control his or her behavior. This requirement was not met as evidenced by:
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Licensee/Administrator will provide a staff training on resident's behavior plan and will submt a statement of understanding reviewing the importance of following resident's behavior plan as well as proof of this training to LPA by the Plan of Correction due date.
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Based upon record review, interview and observation Licensee/Administrator did not ensure that staff are following resident's behavior plan which poses an immeidiate risk to the health and safety of residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
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 appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 56-AS-20250204135028
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/22/2025
Section Cited
CCR
80019(2)(D)
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80019 Criminal Record Clearance (2) Section 1522(b) of the Health and Safety Code provides in part: In addition to the... applicable to criminal convictions of the following persons: (D) Any staff person,...or employee who has contact with the clients. This requirement is not met as evidenced by
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Licensee/Administrator will remove S8 as a staff at the facility as of today and assist S8 in obtaining a Criminal Record Clearance and/or Exemption and submit proof to the Department.
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Based upon record review, interview and observation Licensee/Administrator did not ensure that Staff 8 (S8) obtained a Criminal Record Clearance, which poses an immeidiate risk to the health and safety of residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
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 appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4