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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425639
Report Date: 02/28/2024
Date Signed: 02/28/2024 08:45:27 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/31/2023 and conducted by Evaluator Anna Bueno
COMPLAINT CONTROL NUMBER: 56-AS-20230731120943
FACILITY NAME:CHATEAU BATTISTE AT COLTONFACILITY NUMBER:
366425639
ADMINISTRATOR:QUINNITA REEDFACILITY TYPE:
734
ADDRESS:2264 BACCARAT COURTTELEPHONE:
(909) 264-3148
CITY:COLTONSTATE: CAZIP CODE:
92324
CAPACITY:5CENSUS: 5DATE:
02/28/2024
UNANNOUNCEDTIME BEGAN:
08:34 AM
MET WITH:Breanna McKenzie, LVNTIME COMPLETED:
08:47 AM
ALLEGATION(S):
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Staff is providing care and supervision while under the influence of illegal drugs and or alcohol.
Staff behavior poses as a risk to the clients while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to deliver findings on the above-mentioned complaint allegations. The Department investigation included a review of facility records and of Staff (S1) file, interviews with relevant parties, and review of other pertinent documents and information.

Allegation 1: Staff (S1) is providing care and supervision while under the influence of illegal drugs and or alcohol. Department Investigation found that S1 was hired as a licensed vocation nurse (LVN) at this facility on May 13, 2019 and separated from the facility in April 2020. The facility re-hired S1 as a direct care professional in December 2020. The department interviewed S1 who denied working at this facility while under the influence of drugs or alcohol. Department interviewed witnesses who deny observing S1 to be under the influence or appear impaired while working their shift.
Allegation 2: Staff (S1) behavior poses as a risk to the clients while in care. Department Investigation found that S1 was hired by the facility as a direct support professional (DSP) in December 2020. The department
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Anna Bueno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
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-20230731120943
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: CHATEAU BATTISTE AT COLTON
FACILITY NUMBER: 366425639
VISIT DATE: 02/28/2024
NARRATIVE
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interviewed facility director and other LVN staff and all deny seeing S1 perform any LVN tasks or duties since being hired as a DSP. Department interview with S1 denied performing LVN duties. Facility records reviewed show that S1 always works with at least one LVN on their shift.

Based on the information obtained through the investigation, the allegations are therefore UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the allegations occurred. An exit interview was conducted where this report was discussed with and a copy was provided to Ms. McKenzie.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Anna Bueno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2