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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880786
Report Date: 02/24/2026
Date Signed: 02/24/2026 03:19:19 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
09/05/2025 and conducted by Evaluator Edith Conchas
COMPLAINT CONTROL NUMBER: 56-AS-20250905080217
FACILITY NAME:SUMMERFIELD OF REDLANDSFACILITY NUMBER:
361880786
ADMINISTRATOR:HEIDI CHARETTEFACILITY TYPE:
740
ADDRESS:1319 BROOKSIDE AVENUETELEPHONE:
(909) 793-9500
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:75CENSUS: 41DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Rachelle llamas, Executive Director TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Resident sustained bruising due to an unknown cause.
INVESTIGATION FINDINGS:
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On 2/24/2026 at 1:05 Licensing Program Analysts (LPA) E. Conchas conducted an unannounced visit to the facility to deliver the findings of the above allegation. LPA met and explained the purpose of the visit to Rachelle Llamas, Executive Director.

The Department conducted an investigation into the allegation of resident sustained bruising due to an unknown cause. The investigation included interviews with staff, review of facility records, and review of medical documentation.

Interviews conducted with staff revealed that R1 has a history of altercations with multiple residents. R1 frequently wanders into other residents’ rooms. Interview with staff revealed that on August 28, 2025, a hospice aide discovered bruises on R1 and notified staff 2(S2).

Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
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 5
Control Number 56-AS-20250905080217
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: SUMMERFIELD OF REDLANDS
FACILITY NUMBER: 361880786
VISIT DATE: 02/24/2026
NARRATIVE
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 On September 1, 2025, staff 1 (S1) observed additional bruises on R1 neck as R1 was leaving the facility with family. Review of staff notes indicated bruising may have occurred around the same time R1 had physical altercations with R2 on 08/27/2025 during the nocturnal shift. On September 1, 2025 R1 was taken to the hospital where bruising was confirmed; no fractures were noted. Document review revealed that between July 2, 2025, and August 2025, R1 prescription dosage increased from 20mg to 50mg indicating it was for behavioral management which occurred during the same time that R1 had multiple altercations with resident.

Although bruising was observed, the Department could not determine the exact source of the bruising. Therefore, based on interviews conducted and records review, the allegation, resident sustained bruising due to an unknown cause is 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.

An exit interview was conducted where this report was discussed, and a copy was provided to Rachelle Llamas, Executive Director.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5