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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423397
Report Date: 07/23/2025
Date Signed: 07/23/2025 10:37:01 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
05/15/2023 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20230515142801
FACILITY NAME:HAMNER MANORFACILITY NUMBER:
336423397
ADMINISTRATOR:JAMES VANNOYFACILITY TYPE:
740
ADDRESS:7121 MACKINAW CTTELEPHONE:
(951) 475-5003
CITY:MIRA LOMASTATE: CAZIP CODE:
91752
CAPACITY:6CENSUS: 2DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Facility-Administrator Lesly VannoyTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility does not allow resident to utilize personal bank account.
Facility is not meeting the needs of the resident.
Facility staff is verbally abusive towards resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Administrator Lesly Vannoy and staff April Lopez and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, document reviews, and facility tour.

First Allegation:Facility does not allow resident to utilize personal bank account.
During staff interviews, 2 out of the 2 staff informed LPA that R1 did not had an identity card to open a bank account so R1 could not go to bank to open a bank account. R1 managed own money recived from Social security. R#2 stated that they manage their own money and R#3 has family as a responsible party in records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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-20230515142801
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: HAMNER MANOR
FACILITY NUMBER: 336423397
VISIT DATE: 07/23/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Second Allegation: Facility is not meeting the needs of the resident.
During staff interviews, 2 out of the 2 staff informed LPA that staff looks after the resident and ensures that resident needs are met. 1 out of the 2 residents, stated staff always meets their needs and never had any issues regarding the care in the facility.

Third Allegation: Facility staff is verbally abusive towards resident.
During staff interviews, 2 out of the 2 staff informed LPA that staff never verbally abusive towards the residents in care. 1 out of the 2 residents, stated staff is never verbally abusive towards residents and treat them with respect and care.

Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report LIC 9099, LIC 9099C were discussed and provided to Administrator Lesley Vannoy.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2