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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530344
Report Date: 08/21/2026
Date Signed: 08/21/2026 03:54:04 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
06/17/2026 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20260617133659
FACILITY NAME:FISHER MANOR 2FACILITY NUMBER:
365530344
ADMINISTRATOR:MANASRAH, OMARFACILITY TYPE:
740
ADDRESS:1172 E 26TH STTELEPHONE:
(714) 742-4606
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY:6CENSUS: 6DATE:
08/21/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Staff, Hermalinda VasquezTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility does not maintain adequate food supply
Staff do not ensure facility is clean and sanitary
Facility is in disrepair
Licensee does not ensure the facility has emergency food supply on hand
INVESTIGATION FINDINGS:
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On 08/21/202P6 at 1:30M Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with staff, Hermalinda Vasquez. The investigation consisted of interviews, observation and record review.

In regards to the allegation of facility does not maintain adequate food supply:
LPA interviewed four (4) residents and two (2) staff. The Four (4) out of four (4) residents interviewed stated that there is always food in the facility. Staff denied the allegation and stated that groceries are ordered and delivered every two (2) weeks or more if needed. LPA observed a stocked pantry and three refrigerator/freezer(s) filled with a variety of meats and other food items. Based on interviews and observation, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff do not ensure facility is clean and sanitary:
LPA interviewed two (2) staff and four (4) residents. Staff stated that the facility is cleaned daily and
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 56-AS-20260617133659
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: FISHER MANOR 2
FACILITY NUMBER: 365530344
VISIT DATE: 08/21/2026
NARRATIVE
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there are cleaning supplies readily available. Residents stated that they observe staff cleaning the facility. Based upon interviews, this allegation is UNSUBSTANTIATED.

In regards to the allegation of facility is in disrepair:
LPA interviewed staff. Staff stated that when there is something that needs to be repaired, management will send a maintenance person to take care of it. Staff denied the allegation. LPA observed bathroom related inventory in boxes in the staff area; waiting to be installed. Based on interview and observation, this allegation is UNSUBSTANTIATED.

In regards to the allegation of licensee does not ensure the facility has emergency food supply on hand:
LPA interviewed staff. Staff denied the allegation and stated that they have a supply of food in the garage. LPA observed a container filled with additional emergency food in the staff area and additional food in the garage. Based on observation and interview, this allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and a copy was provided to staff, Hermalinda Vasquez.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026
LIC9099 (FAS) - (06/04)
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