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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366424637
Report Date: 06/25/2025
Date Signed: 06/25/2025 01:38:05 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
11/26/2024 and conducted by Evaluator Renese Howell-Small
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20241126101245
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:
06/25/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:TIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Inappropriate interactions between clients due to lack of supervision
Facility failed to ensure that all clients are comfortable
INVESTIGATION FINDINGS:
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On 06/25/2025 Licensing Program Analysts (LPA)s Renese Howell-Small and Edith Conchas conducted an unannounced visit to the facility to deliver findings for the above allegations. LPA discussed the purpose of the visit with Administrator, Valerie July.

The allegation alleged that there was Inappropriate interactions between clients due to lack of supervision.

LPA interviewed three (3) staff and one (1) resident whom stated that Resident 1 (R1) does express behaviors of hitting other residents, knocking on resident room doors and sitting in front of the bathroom door while it is in use by another resident. In addtion, an interview conducted with staff at the Inland Regional Center (IRC) stated that due to the behaviors of R1, there is a need for one-on-one staff for R1. Therefore, this allegation is SUBSTANTIATED. A deficiency will be cited.
Continued on LIC9099C


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
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-20241126101245
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: 06/25/2025
NARRATIVE
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The allegation that the facility did not ensure that all clients are comfortable.

Based on record review, Resident 1 (R1) expresses challenging behaviors towards staff and other residents. Interviews conducted with Staff 5 (S5) and Staff 6 (S6) stated that R1 will disturb the other residents early in the morning by banging on bedroom doors and will sit in front of the bathroom door while it is occupied. An interview conducted with Resident 3 (R3) stated that R1 would sit in the nude in front of Resident 2’s (R2) room. S6 stated that R1 has been allowed to get in the personal space of R2. Based upon interview and record review, this allegation is SUBSTANTIATED. A deficiency will be cited.

SUBSTANTIATED is defined as the complaint allegation(s) is valid and 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 was provided to Administrator, Valerie July.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 56-AS-20241126101245
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: 06/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/26/2025
Section Cited
CCR
85065(b)
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85065 Personnel Requirements
(b) The licensee shall employ staff as necessary to ensure provision of care and supervision to meet client needs.

This requirement is not met as evidenced by:
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Licensee/Administrator will schedule an additional staff when all three (3) residents are at the facility and will provide Licensing Program Analyst (LPA) with the staff schedule by the Plan of Correction due date.
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Based upon observation, interview and record review, Licensee/Administrator did not ensure that facility had an additional staff to supervise Resident 1 (R1) which posed, an immediate risk to the health, safety and personal rights 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: 06/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 56-AS-20241126101245
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: 06/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/26/2025
Section Cited
CCR
870072(a)(1)
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80072 Personal Rights (a)(1)Except for children’s..., each client shall have personal rights which include... (1)To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement was not met as evidenced by:
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Licensee/Administrator will redirect R1 and not allow R1 to sit in or or near the bathroom door while it is occupied by another client and Licensee/Administrator will conduct at staff traininin on Personal Rights and submit proof to LPA by Plan of Correction due date.
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Based upon record review, interview and observation, the facility did not ensure that all clients are comfortable by not redirecting the behavior of Resident 1 (R1) and not ensuring the privacy of all the residents which poses an immediate 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: 06/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4