197609727-9-10-2025-31-AS-NGID-DQLMVY-20260123085726

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609727
Report Date: 09/10/2025
Date Signed: 09/10/2025 03:23:31 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/15/2025 and conducted by Evaluator Evelin Rios

COMPLAINT CONTROL NUMBER: 31-AS-20250515092725

FACILITY NAME:	WE R ONE FAMILY HOME, INC.		FACILITY NUMBER:	197609727
ADMINISTRATOR:	TYRONE QUALS		FACILITY TYPE:	735
ADDRESS:	723 E. OLDFIELD ST		TELEPHONE:	(562) 644-7260
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY:	4	CENSUS:	DATE:	09/10/2025
		ANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Tyrone Quals		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not properly manage client’s medication.

INVESTIGATION FINDINGS:

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On 09/10/2025 Licensing Program Analysts (LPAs) Huma Rahimi and Evelin Rios met with Administrator Tyrone Quals in the Woodland Hills South Regional Office (RO). LPA’s had attempted to meet administrator at the facility. The facility census is currently 0.

5/22/2025 an initial unannounced complaint visit was conducted by LPAs Huma Rahimi, Evelin Rios and North Los Angeles County Regional Center Community Service Specialist, Andrea Messina. LPA Rahimi conducted a physical plant tour of the facility. The facility has no residents. During the investigation, LPA Rios obtained copies not limited the following for Resdient #1 (R1), Individual Program Plan (IPP), Special Incident Reports (SIRs), Centrally Stored Medication Record.
(Continue to LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

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 31-AS-20250515092725

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: WE R ONE FAMILY HOME, INC.	FACILITY NUMBER: 197609727
	VISIT DATE: 09/10/2025

NARRATIVE

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(Continue from LIC9099) From 1:04 p.m. to 1:45 p.m. LPAs conducted a telephone interview with the administrator. LPAs also interviewed the House Manager present at the facility. LPA Rios conducted telephone interviews with R1 on 06/05/2025 and Resident #2 (R2) on 08/14/2025. LPA Rios conducted a telephone interview with Staff #2 (S2) on 08/11/2025.

Allegation: Staff did not properly manage a client’s medication. It was reported that Resident #1 (R1) missed their evening medication on 5/12/2025 and morning medication on 5/13/2025. LPA’s interviews with administrator and R1 revealed on the evening of 5/12/2025, an incident occurred between the Administrator and R1, prompting R1 to contact 911. Emergency services and law enforcement responded, and R1 was transported to the hospital. As R1 was not present at the facility, evening medication could not be administered.

Upon returning, the Administrator stated they attempted to provide R1’s medication, but R1 did not take it. R1 denied this, stating they were rushed while gathering belongings and did not receive medication. LPA’s interview with R2 could not recall the events of that day and was unable to corroborate either account. R1 also stated they left the facility with no intention of returning, making it unlikely for R1 to receive medication on 5/13/2025. LPA’s interview with S2, indicated R1 was already gone when they arrived for their night shift. Staff corroborate, R1’s medication and other personal belongings were picked up on behalf of R1.

Based on the available evidence and conflicting accounts, LPA was unable to find corroborating evidence that the licensee didn’t properly manage the client’s medication therefore the allegation is deemed Unsubstantiated at this time.

No deficiency cited. Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

LIC9099 (FAS) - (06/04)

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