<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320504
Report Date: 04/16/2025
Date Signed: 04/16/2025 04:38:55 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
04/10/2025 and conducted by Evaluator Alfonso Iniguez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250410093940
FACILITY NAME:CHEZ BON GUEST HOMEFACILITY NUMBER:
198320504
ADMINISTRATOR:IBRAHIM ZAYATFACILITY TYPE:
735
ADDRESS:1206 WALNUT AVETELEPHONE:
(562) 591-1411
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:82CENSUS: 80DATE:
04/16/2025
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Ibrahim Zayat/AdministratorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not permitting resident to receive phone calls.
Staff is having an inappropriate relationship with resident.
Staff do not follow reporting requirements.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/16/25, at approximately 9:30 AM, Licensing Program Analyst-LPA Alfonso Iniguez conducted a subsequent unannounced complaint visit. LPA Iniguez met with Ibrahim Zayat/Administrator. LPA explained the purpose of this visit.


Investigation Consisted of: LPA conducted the following interviews: Administrator Interview(A#1), Client’s interviews (C#1-C#8), Staff Interview (S#1 and S#2). LPA obtained and reviewed the following documents: Client’s roster, Personnel roster, copies of (C#1)’s file and hospital discharge papers, and facility staff training regarding client’s rights…

Evaluation Report continues LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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 5
Control Number 11-AS-20250410093940
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: CHEZ BON GUEST HOME
FACILITY NUMBER: 198320504
VISIT DATE: 04/16/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Investigation Revealed the Following:

Allegation: Staff are not permitting resident to receive phone calls

The details of the complaint alleged that facility staff is not allowing (C#1) to speak with their representative.



On April 15, 2025, at approximately 1:45 PM, LPA Iniguez reviewed emails sent by (C#1) to the facility administrator (A#1). In one of the emails, (C#1) expressed an apology for their representative's behavior during a phone call. LPA Iniguez observed that the facility's guidelines state that clients are permitted to make phone calls, with each call limited to 10 minutes. Additionally, LPA Iniguez reviewed the in-service training log for facility staff regarding personal rights, which was dated April 4, 2025.

On April 15, 2025, at approximately 10:00 AM, during an interview with the Administrator (A#1), he stated that (C#1) and all clients in care are allowed to receive personal phone calls. Additionally, (A#1) mentioned that the facility staff, including himself, are aware of the clients' rights.

On April 16, 2025, at approximately 4:00 PM, LPA Iniguez spoke with (C#1) by telephone. LPA Iniguez explained the purpose of the call to (C#1). (C#1) stated that they are in good standing with the facility and do not wish to continue the conversation. LPA Iniguez then ended the call.

On April 15, 2025, at approximately 10:00 AM, interviews were conducted with clients (C#2 through C#8). Of these clients, (7) out of (8) stated that they can make and receive personal phone calls at the facility. Additionally, (7) out of (8) clients stated that the facility staff are trained regarding their rights.

On April 15, 2025, at approximately 10:30 AM, interviews were conducted with two facility staff members (S#1 and S#2). Both staff members confirmed that the facility allows client (C#1) and all other residents to make and receive phone calls. Additionally, both staff members stated that they are aware of the personal rights of the clients in their care.

Evaluation Report continues LIC 9099-C
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20250410093940
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: CHEZ BON GUEST HOME
FACILITY NUMBER: 198320504
VISIT DATE: 04/16/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Staff is having an inappropriate relationship with resident.

The details of the complaint alleged that facility administrator is having a romantic relationship with (C#1).



On April 15, 2025, at approximately 1:45 PM, during a records review, LPA Iniguez observed (C#1)’s emails to the facility administrator; the following is written: “Well anyway, I love you a lot (A#1)! Hope you are well <3. Love (C#1)”. LPA Iniguez did not observe a response from (A#1) following this email.

On April 15, 2025, at approximately 9:30 AM, during an Interview with the Administrator (A#1), he stated he had never had a romantic relationship with (C#1) or any other client in care.

On April 16, 2025, at approximately 4:00 PM, LPA Iniguez spoke with (C#1) by telephone. LPA Iniguez explained the purpose of the call to (C#1). (C#1) stated that they are in good standing with the facility and do not wish to continue the conversation. LPA Iniguez then ended the call.

On April 15, 2025, at approximately 11:00 AM, during interviews with clients (C#2-C#8), (7) out of (8) stated that they have never witnessed the facility administrator (A#1) having a romantic relationship with (C#1).

On April 15, 2025, at approximately 10:30, during interviews with facility staff (S#1-S#2), (2) out of (2) stated that they have never witnessed facility administrator (A#1) having a relationship with (C#1).

Evaluation Report continues LIC 9099-C
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20250410093940
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: CHEZ BON GUEST HOME
FACILITY NUMBER: 198320504
VISIT DATE: 04/16/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Staff do not follow reporting requirements.

The details of the complaint alleged that facility staff did not inform (C#1)’s representative when they were admitted to the hospital.



On April 15, 2025, at approximately 1:45 PM, during a records review, LPA Iniguez observed (C#1)’s Unusual Incident Report, referenced as LIC 624, dated 1/29/25. The report indicates that (C#1) experienced a behavioral episode and was subsequently transported to the hospital under a 51/50 hold. Additionally, the LIC 624 confirms that facility staff notified (C#1)’s representatives about the incident.

On April 15, 2025, at approximately 9:30 AM, during an Interview with the Administrator (A#1), he stated that the day (C#1) was transported to the hospital on 1/29/25; he reported it to (C#1) representatives and doctors.

On April 16, 2025, at approximately 4:00 PM, LPA Iniguez spoke with (C#1) by telephone. LPA Iniguez explained the purpose of the call to (C#1). (C#1) stated that they are in good standing with the facility and do not wish to continue the conversation. LPA Iniguez then ended the call.



On April 15, 2025, at approximately 11:00 AM, during interviews with clients (C#2-C#8), (6) out of (8) stated that they had not gone to the hospital recently. Still, they think the facility staff will inform their representatives about it. Also, (1) out of (8) state that they have gone to the hospital, and the facility staff report it to their representatives and doctors.

On April 15, 2025, at approximately 10:30, during interviews with facility staff (S#1-S#2), (2) out of (2) stated that when (C#1) went to the hospital, the facility reported to their representatives. In addition, (2) out of (2) facility staff stated that if any other client in care goes to the hospital, they will report it to their representatives.

Evaluation Report continues LIC 9099-C
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20250410093940
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: CHEZ BON GUEST HOME
FACILITY NUMBER: 198320504
VISIT DATE: 04/16/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegation(s).

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.


An exit interview was conducted, and a copy of the Complaint Report was given to Daniel Flores/Facility Staff

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5