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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880853
Report Date: 01/29/2025
Date Signed: 01/29/2025 01:32:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/21/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 56-AS-20250121102517
FACILITY NAME:MOUNTAIN VIEW PLEASANT LIVINGFACILITY NUMBER:
361880853
ADMINISTRATOR:KARA RICHARDSONFACILITY TYPE:
740
ADDRESS:2258 MENTONE BLVDTELEPHONE:
(909) 810-1500
CITY:MENTONESTATE: CAZIP CODE:
92359
CAPACITY:20CENSUS: 19DATE:
01/29/2025
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Delcie Meadows-Administrator TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff are mismanaging residents medications
Staff left residents in soiled diapers for an extended period of time
Staff are not meeting residents hygiene needs
Staff are not providing adequate food service to residents
Staff are not providing residents with activities
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility to commence a complaint investigation and deliver findings. LPA identified herself to Marlene Santillanes support staff who was informed of the purpose of the visit. Marlene then called Delcie Meadows-Administrator who arrived about 10:05 AM. Delcie was informed of the purpose of the visit and allegations.

The investigation consisted of interview with clients, staff members, records review and observations.

During the investigation LPA conducted a random audit of the Medication Administration Records (MARS) and found that staff are administering medications as prescribed by the physicians. LPA observed staff ensuring that medications are swallowed at the time given. Interviews with both clients and staff indicated that clients are receiving assistance with their hygiene needs and are not left soiled for extended periods. LPA also observed clients finishing breakfast in the dining area, with clients commenting that the food was good, and portions were adequate. Additionally, LPA observed lunch being prepared and served to clients, with portion sizes appearing sufficient.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
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-20250121102517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: MOUNTAIN VIEW PLEASANT LIVING
FACILITY NUMBER: 361880853
VISIT DATE: 01/29/2025
NARRATIVE
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The LPA reviewed records showing that food purchases are made weekly, which appear adequate for the number of clients in care. A tour of the kitchen revealed a variety of food items are available, with a 5-day supply of perishables and a 7-day supply of non-perishables.

Based on the evidence gathered during the investigation, the above allegation is found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Delcie Meadows- Administrator at the conclusion of the visit with appeal rights.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2