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13 | On this day, May 6, 2026 at 10:50 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the investigation the above allegations and close the complaint. LPA was granted entry by staff, Sheila Ann Bengco. LPA called and spoke over the phone with Gabriele 'Gabi' Sibonga, administrator (ADM), and informed the reason for visit. ADM arrived at 11:21 am.
During the course of investigation, LPA obtained copies of client's documents including but not limited to the following: LIC601 Identification and Emergency Information; Individual Program Plan; Invidual Service Plan; Special Incident Reports; Behavior Tracking Logs. LPA interviewed the following: former staff/witness (FW1) on 11/03/25; clients (C1, C2) on 11/06/25; staff (S1, S2, S3, S4 and ADM) on 11/06/25; one of the staff and ADM on 5/06/26. Picture and video footage of 2 incidents were received and reviewed by the Department.
.....continued on 9099C |
| Substantiated | Estimated Days of Completion: |
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NARRATIVE |
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32 | Allegation: Staff verbally abuse client.
The reporting party (RP) stated that staff (S1 and S2) verbally abuse and scare clients. FW1 confirmed the allegation and stated she personally witnessed the abuse. S3 stated there are times when S3 hears C1 having behavior and is restrained by S1 and S2. S3 also stated that S1 and S2 don't send C1 to the program and treat C1 to going out so C1 forgets the incident. S4 stated hearing S1 and S2 raised their voices to C1, and S1 yelled at C1 and C2. Although the administrator (ADM) stated not hearing S1 and S2 yelled at clients and both S1 and S2 denied the allegation, video footage of an incidents proved otherwise. Therefore the allegation is substantiated.
Allegation: Staff physically abuse clients.
FW1 stated personally witnessing S1 and S2 abused C1. S1 denied the allegation, however, C2 stated S1 hit C1. S3 confirmed that it was S1 and S2 on the video footage and stated that S1 was choking C1 during incident. At first, S2 denied the allegation, however, after LPA showed the 2 video footage, of which one where C1 was crying and saying she was pushed, and another footage where C1 was shown with S1 and S2 with slapping and appeared S1 choking C1, S2 stated those were not the right way of redirecting client when client is having behavior. Picture provided to the Department also showed S1 lifting a chair and aimed towards C1. ADM stated that Alexis 'Alex' Ancheta, licensee, forwarded to her one of the videos sent by FW1 to the licensee. Therefore, the allegation is substantiated.
Based on interviews and review of records and evidence, the 2 allegations are substantiated. Deficiencies are cited from Title 22 California Code of Regulations and listed on 9099D. Failure to submit proof of corrections (POCs) by plan of correction due dates and any repeat violation within 12 month period may result in civil penalty.
Deficiencies and plan and proof of corrections were discussed with licensee over the phone in the presence of ADM.
Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
05/07/2026
Section Cited
CCR
80072(a)(1) | 1
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7 | 80072 Personal Rights: (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
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7 | Administrator to have the staff trained by approved vendor and submit proof by 5/07/26. |
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14 | -This requirement is not met as evidenced by:
-Based on interviews and review of records and evidence, the licensee did not comply with the section above when S1 and S2 yelled at client which posed an immediate risks to person in care | 8
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Type A
05/08/2026
Section Cited
CCR
80072(a)(3) | 1
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7 | 80072 Personal Rights: (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or.... | 1
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7 | Administrator to have the staff trained by approved vendor and submit proof by 5/07/26. |
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14 | ..... other actions of a punitive nature.....
--This requirement is not met as evidenced by:
-Based on interviews and review of records and evidence, the licensee did not comply with the section above when S1 physically abused, and S1 and S2 threatened C1. | 8
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