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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880730
Report Date: 06/13/2025
Date Signed: 06/13/2025 02:08:50 PM

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
11/07/2022 and conducted by Evaluator Eldin Serrano
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20221107115901
FACILITY NAME:MORNING MIST HOMECAREFACILITY NUMBER:
331880730
ADMINISTRATOR:FACILITY TYPE:
740
ADDRESS:7902 NATOMA STTELEPHONE:
(949) 233-1643
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY:6CENSUS: 6DATE:
06/13/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Letty Magno, CaregiverTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility staff allowed resident to develop multiple pressure injuries while in care.
Facility staff did not seek timely medical attention for residents pressure injuries.
Facility staff are not repositioning resident.
INVESTIGATION FINDINGS:
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On 6/13/2025 at 12:45 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with caregiver Letty Magno to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staffs and residents as well as facility observation.

Allegation #1: Facility staff allowed resident to develop multiple pressure injuries while in care – Based on interview with outside parties, they stated that they do not have any evidence to provide to corroborate the allegation. Based on information received during interviews with staff, they denied the allegation that resident #1 (R1) developed multiple pressure injuries while in care. Based on interviews with residents, they do not think that facility staff allowed pressure injury to develop. LPA was unable to corroborate the allegation.

Allegation #2: Facility staff did not seek timely medical attention for residents pressure injuries - Based on interviews with staff and residents, they all stated that the facility staff seek medical attention right away from medical professional to avoid developing pressure injury. Based on the information received during the investigation LPA was unable to corroborate the allegation

*** Continuation in LIC9099C ***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
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 2
Control Number 56-AS-20221107115901
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: MORNING MIST HOMECARE
FACILITY NUMBER: 331880730
VISIT DATE: 06/13/2025
NARRATIVE
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Allegation #3 Facility staff are not repositioning resident - Based on interviews with staff, the residents were being turned every two (2) hours to prevent pressure injuries especially the bedridden residents. One staff stated that the residents are their number one priority. Information received during investigation did not corroborate with the allegation.

During the investigation, LPA did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to caregiver Letty Magno.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2