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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320234
Report Date: 07/01/2025
Date Signed: 07/01/2025 02:07:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/25/2025 and conducted by Evaluator Jose Calderon
COMPLAINT CONTROL NUMBER: 11-AS-20250625115051
FACILITY NAME:REM CALIFORNIA, LLC - MARCELLUSFACILITY NUMBER:
198320234
ADMINISTRATOR:PAGE, LATORIFACILITY TYPE:
735
ADDRESS:1024 E. MARCELLUS ST.TELEPHONE:
(562) 529-2524
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:3CENSUS: 2DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:MANAGER RYAN MCGUIRETIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff left client in the car alone unsupervised
INVESTIGATION FINDINGS:
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On 07/01/2025 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to REM California LLC Marcellus and was greeted by Manager Ryan Mcguire (S1). LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegation.

The investigation consisted of the following: LPA Calderon interviewed Staff S1-S2, resident R1-R2. LPA Calderon obtained the following records: physician report (dated 06/04/2024) incident report (dated 06/05/2025 to 06/27/2025), Individual Service Plan (ISP) (dated 04/15/2025) for R1, transportation training for staff (dated 06/24/2024). LPA Calderon toured the facility with S1. LPA Calderon did not notice any negative interactions with residents.

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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 11-AS-20250625115051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: REM CALIFORNIA, LLC - MARCELLUS
FACILITY NUMBER: 198320234
VISIT DATE: 07/01/2025
NARRATIVE
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Regarding the Allegation: Staff left clients in the car alone unsupervised.

This complaint alleged that the facility did not provide supervision while residents were inside the facility vehicle. Records review indicate the following: Physician report indicate R1 physical and mental status is “poor”. The incident report indicates that R1 wanted to harm staff and R1 self. ISP plan noted that R1 has mental issues. Module enrollment CS transportation procedure, this document establishes procedures to help promote the safety and well-being of residents and staff during vehicle transportation. Interviews indicate the following: 2 out of 2 staff deny the allegation. R1 is currently at the hospital for 5150 hold and could not be interviewed according to the incident report dated 06/27/2025. R2 indicates that staff never leave residents inside the facility van alone.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff left client in the car alone unsupervised” is found to be UNSUBSTANTIATED.

No deficiencies cited during today's visit.



An exit interview was conducted, and a copy of the Complaint Report was provided to the Manager Ryan Mcguire (S1).
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2