366426710-3-15-2023-56-AS-KCLS-CQUNX9-20230413105043

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366426710
Report Date: 03/15/2023
Date Signed: 03/15/2023 12:12:05 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
03/13/2023 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230313160505

FACILITY NAME:	LINDA VALLEY ASSISTED LIVING		FACILITY NUMBER:	366426710
ADMINISTRATOR:	BROOKE ABREGO		FACILITY TYPE:	740
ADDRESS:	25393 COLE ST.		TELEPHONE:	(909) 799-3117
CITY:	LOMA LINDA	STATE: CA	ZIP CODE:	92354
CAPACITY:	64	CENSUS: 51	DATE:	03/15/2023
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Brooke Abrego, Executive Director		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff mishandles residents personal property
Staff made rude remarks towards clients
Facilty denied Ombudsman entry

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Magda Malcore and Bernadette Allen made an unannounced visit to the facility to conduct a complaint investigation and deliver the findings regarding the above allegations. LPAs Malcore and Allen met with Executive Director, Brooke Abrego and discussed the purpose of the visit. During the investigation, LPAs toured the facility, obtained pertinent documents, interviewed staff, and residents.

Regarding the allegation that staff mishandles resident’s personal property, all five (5) staff interviews deny mishandling and/or witnessing staff mishandle resident's personal property. All five (5) resident interviews deny that staff has mishandled their personal property and have not witnessed staff mishandle other resident's personal property.

Regarding the allegation that staff made rude remarks toward residents, all five (5) staff interviews deny making and/or witnessing staff making rude remarks toward residents. All five (5) resident interviews deny that staff have made rude remarks towards them and/or toward other residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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-20230313160505

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: LINDA VALLEY ASSISTED LIVING	FACILITY NUMBER: 366426710
	VISIT DATE: 03/15/2023

NARRATIVE

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Regarding the allegation that the facility denied Ombudsman entry, all five (5) staff and all five (5) residents interviewed have stated that the Ombudsman has been allowed entry into the facility.

Based on interviews and documentation obtained during the investigation, the above allegations are Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies were cited during this visit.

An exit interview was conducted where this report was discussed, and a copy of this report was provided to Brooke Abrego at the conclusion of the visit.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC9099 (FAS) - (06/04)

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