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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881351
Report Date: 02/29/2024
Date Signed: 02/29/2024 10:50:37 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
02/22/2024 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240222133233
FACILITY NAME:ASHER'S RESIDENTIAL CARE FACILITYFACILITY NUMBER:
331881351
ADMINISTRATOR:MALIGAYA, MARK ANTHONYFACILITY TYPE:
740
ADDRESS:1666 SAGEBRUSH ROADTELEPHONE:
(760) 844-0754
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92264
CAPACITY:6CENSUS: 6DATE:
02/29/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Mark Maligaya - AdministratorTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Resident sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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 Program Analyst (LPA) Crystal Colvin conducted an unannounced visit to the facility for the purpose of conducting a complaint investigation for the above allegation. LPA Colvin met with Administrator Mark Maligaya and advised him of the purpose of today's inspection. Below is a summary of the investigation.

Regarding allegation "Resident sustained unexplained injuries while in care" - LPA Colvin conducted interviews with resident, staff, and other outside parties with information relevant to the complaint. LPA Colvin additionally reviewed records in Resident 1's (R1) file. According to interviews conducted, R1 has a history of bruising often and easily, partially due to being on blood thinning medication. LPA Colvin reviewed R1's medications and confirmed that R1 is taking blood thinners. All parties interviewed stated that there were no concerns with R1's care or the bruising that was observed during R1's recent hospital visit on 2/21/24. No additional information was provided by the Reporting Party and LPA Colvin was unable to reach them for interview. Therefore, due to lack of evidence to support the allegation, the findings of the allegation "Resident sustained unexplained injuries while in care" is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Crystal Colvin
LICENSING EVALUATOR SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
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 18-AS-20240222133233
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ASHER'S RESIDENTIAL CARE FACILITY
FACILITY NUMBER: 331881351
VISIT DATE: 02/29/2024
NARRATIVE
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A finding of 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.

An exit interview was conducted with Administrator Mark Maligaya and a copy of this report was provided.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Crystal Colvin
LICENSING EVALUATOR SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2