198320504-1-29-2026-11-AS-RORN-DSHVH4-20260325162630

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320504
Report Date: 01/29/2026
Date Signed: 01/29/2026 05:07:03 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
01/21/2026 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260121103919

FACILITY NAME:	CHEZ BON GUEST HOME		FACILITY NUMBER:	198320504
ADMINISTRATOR:	IBRAHIM ZAYAT		FACILITY TYPE:	735
ADDRESS:	1206 WALNUT AVE		TELEPHONE:	(562) 591-1411
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	82	CENSUS: 77	DATE:	01/29/2026
		UNANNOUNCED	TIME BEGAN:	03:32 PM
MET WITH:	ADMINISTRATOR - IBRAHIM ZAHAT		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff do not provide residents adequate food service.

INVESTIGATION FINDINGS:

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On 01/29/2026 Licensing Program Analyst (LPA) Troy Watson conducted an initial complaint visit for the allegation listed above. LPA Watson explained to the Administrator Ibrahim Zayat the purpose of the visit. LPA Troy Watson was allowed entry into the facility.

Investigation consisted of t/2026he following:

On 01/29/2026 LPA Watson requested and received the following documents: Staff Roster, Personnel Report 12/2025, Physicians Report 05/09/2025, and Breakfast Menu. LPA Watson interviewed the Staff #1-Staff# 4 (S1–S4) and Residents#1-#8 (R1-R8). A tour of the facility grounds was conducted with the DSP Jose Guerra and was found to be clean and in good repair.

CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

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 11-AS-20260121103919

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: 01/29/2026

NARRATIVE

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Allegation: Staff do not provide residents with adequate food service.

Staff provide residents with meals that lack essential nutritional components, including protein, dairy, vegetables, and fruit. On 01/29/2026 LPA Troy Watson interviewed Administrator Ibrahim Zayat (A1). During the interview conducted on 01/29/2026 Administrator Ibrahim Zayat (A1) stated during the interview that they are part of the shopping crew and that eggs, chorizo, pancakes, milk, cereal, peanut butter and jelly, coffee, juice and fruit are always made available to the residents. The Administrator said that they always have a mix of protein, fiber and carbs, all the essential nutrition for the residents. On 01/29/2026 LPA Troy Watson interviewed Staff #1 -Staff#4 (S1–S4). Out of those interviewed 4 out of 4 staff members denied the above allegation. On 01/29/2026 LPA Troy Watson interviewed Residents#1-#8 (R1-R8). Out of those interviewed, 7 out of 8 staff members denied the above allegation.On 01/29/2026 LPA Troy Watson obtained and reviewed the Breakfast Menu and observed the menu to be nutritionally balanced for the residents.LPA Watson toured the facility kitchen and found it to be adequately supplied with an ample amount of food, and clean and in good repair.
Based on the information gathered from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegation is Unsubstantiated.

An exit interview was conducted with the DSP Jose Guerra and copies were provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026

LIC9099 (FAS) - (06/04)

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