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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880801
Report Date: 12/15/2025
Date Signed: 12/15/2025 02:34:22 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
08/10/2023 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20230810094038
FACILITY NAME:JASMIN TERRACE AT YUCCA VALLEYFACILITY NUMBER:
361880801
ADMINISTRATOR:MICHAEL GARCIAFACILITY TYPE:
740
ADDRESS:55425 SANTA FE TRAILTELEPHONE:
(760) 365-0887
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:85CENSUS: 63DATE:
12/15/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maria MolinaTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not providing adequate food service to residents
Staff are not providing menus for residents
Staff are not meeting residents dietary needs
Staff are engaging in inappropriate behaviors in the presence of residents
Administrator is not meeting a sufficient number of hours in the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation on the above allegations. LPA met with Assisting Administrator, Maria Molina, who was informed of today’s visit. The investigation consisted of pertinent record review, observations, and interviews with staff and residents.

Regarding allegation 1, staff are not providing adequate food service to residents, four (4) staff interviews indicate that they are providing residents with adequate food service. Six (6) out of eight (8) resident interviews indicate that staff are providing them with adequate food service.

Regarding allegation 2, staff are not providing menus for residents, four (4) staff interviews indicate that menus are available for review and posted in dining area. Six (6) out of eight (8) resident interviews indicate that staff are providing menus for residents by posting them in the dining areas. In addition, LPA did observe menus posted in the dining area.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
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-20230810094038
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: JASMIN TERRACE AT YUCCA VALLEY
FACILITY NUMBER: 361880801
VISIT DATE: 12/15/2025
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
Regarding allegation 3, staff are not meeting resident’s dietary needs, four (4) staff interviews indicate that they are meeting resident’s dietary needs. Six (6) out of eight (8) resident interviews indicate that staff are meeting their dietary needs. In addition, LPA observed a list in the kitchen area of residents with special diets and/or preferences.

Regarding allegation 4, staff are engaging in inappropriate behaviors in the presence of residents, Five (5) staff interviews indicate that they are not engaging in inappropriate behaviors in the presence of residents. Seven (7) out of eight (8) resident interviews indicate that staff have not engaged in inappropriate behaviors in their presence.

Regarding allegation 5, Administrator is not meeting a sufficient number of hours in the facility, Five (5) staff interviews indicate that the Administrator is meeting a sufficient number of hours at the facility. Seven (7) out of eight (8) resident interviews indicate that the Administrator is at the facility a sufficient number of hours to address their concerns.

Based on the Department’s investigation, the allegations mentioned in the report 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.



An exit interview was conducted where this report was discussed, and a copy was provided to Assisting Administrator Molina with appeal rights.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2