366424638-1-28-2026-56-AS-NBRN-DQSW2Z-20260129155509

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366424638
Report Date: 01/28/2026
Date Signed: 01/28/2026 10:26:28 AM

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
12/20/2023 and conducted by Evaluator Renese Howell-Small

COMPLAINT CONTROL NUMBER: 56-AS-20231220154602

FACILITY NAME:	NEW DISCOVERY RESIDENTIAL SERVICES II		FACILITY NUMBER:	366424638
ADMINISTRATOR:	VIVIAN FRANCISCO		FACILITY TYPE:	735
ADDRESS:	3750 OLEANDER DR.		TELEPHONE:	(909) 280-9638
CITY:	HIGHLAND	STATE: CA	ZIP CODE:	92346
CAPACITY:	6	CENSUS: 2	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator, Vivian Francisco		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Staff did not follow resident's medical recommendations leading to death of resident.

INVESTIGATION FINDINGS:

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On 01/28/2026 at 9:30AM Licensing Program Analysts, Renese Howell-Small and La Vette Farlow, (LPAs) arrived at the New Discovery Residential Services II unannounced to deliver findings for the complaint investigation into the allegations listed above. LPAs met with Administrator, Vivian Francisco, introduced self and stated purpose of the visit. The investigation was conducted by Department staff which consisted of interviews with staff and record reviews.

On December 20, 2023, the Department received a complaint alleging neglect/lack of supervision resulting in the death of C1. Specifically, staff did not follow resident's medical recommendations leading to death of resident. The Department investigation consisted of review of facility records, review of medical records, interviews with staff and interviews with pertinent individuals.

Interviews conducted with staff revealed that staff were aware of C1’s condition and followed the directions of C1’s physician. On May 18, 2023, C1 was evaluated and per the medical and speech therapist's recommendations, staff were advised to closely monitor C1 while eating and drinking.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

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-20231220154602

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 II	FACILITY NUMBER: 366424638
	VISIT DATE: 01/28/2026

NARRATIVE

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All staff interviewed stated that they were aware and trained to care for the client’s diagnosis and 1:1 direct supervision was provided during feeds. Staff were observed by the speech pathologist presenting knowledge of feeding techniques.

Interviews conducted with C1’s physician revealed that C1 was seen monthly and communicated with facility staff regularly. No signs of neglect were observed. R1 physician stated that C1 did not require a higher level of care, and both the physician and speech pathologist confirmed caregivers were knowledgeable and attentive, with no evidence of negligence contributing to R1’s death. Based on observation of coroner’s report, there were no signs of abuse, trauma, neglect or suspicious circumstances. Therefore, based on interviews and record review, this allegation is UNSUBSTANTIATED.

An exit interview was conducted where this report LIC809 and LIC809C were discussed and a copy was provided to Administrator, Vivian Francisco.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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