198320504-11-14-2025-11-AS-PMAA-DVRS99-20260707134022

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320504
Report Date: 11/14/2025
Date Signed: 11/14/2025 12:46:30 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
11/04/2025 and conducted by Evaluator Zina Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20251104184324

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: 78	DATE:	11/14/2025
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Ibrahim Zayat (Administrator)		TIME COMPLETED:	12:55 PM

ALLEGATION(S):

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Staff do not provide residents adequate food service.
Staff do not ensure that facility is free of pests.

INVESTIGATION FINDINGS:

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On11/14/2025, at 8:00am, Licensing Program Analyst (LPA) Zina Brown initiated an unannounced complaint investigation for the allegations listed above. During today’s visit, LPA met with Ibrahim Zayat (Administrator) and the purpose of the visit was explained.

The investigation consisted of the following: On 11/14/2025, LPA conducted interviews with Administrator (A1), Staff (S1-S7) & Residents (R1 - R7) between the hours of 8:39am - 9:31pm. LPA also requested and received the following documents: Staff Roster (dated February 2025), Client Roster (received on 11/14/2025), Weekly Food Menu (for Week 1, Week 2 & Week 3 for November 2025), Statements from Rainbow Produce LLC (dated for 02/28/2025, 04/30/2025, 06/30/2025 & 08/31/2025), Smart & Finals receipts (dated 10/17/2025 & 10/25/2025) and 4 Seasons Pest Management (invoices dated 01/09/2025, 03/14/2025, 04/01/2025, 04/25/2025, 04/30/2025, 05/01/2025, 05/08/2025, 05/27/2025, 05/31/2025, 06/12/2025, 06/30/2025, 07/10/2025, 07/22/2025, 08/14/2025, 08/26/2025, 09/23/2025, 10/06/2025, 10/28/2025 and 11/13/2025)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025

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 3

Control Number 11-AS-20251104184324

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: 11/14/2025

NARRATIVE

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The investigation revealed the following:
Staff do not provide residents adequate food service.
It was alleged that there is a food shortage and management is not allocating enough funds for proper meals resulting in clients not receiving proper nutrition and multiple incidents of food poisoning.

On 11/14/2025 between the hours of 8:39am - 9:01am, LPA interviewed A1 who denied the allegation and explained Rainbow Produce delivers fruits and vegetables every week. A1 also stated the facility goes grocery shopping every Monday and Friday for meats such as beef, chicken, bacon, porkchops, hot dogs, burger patties, stew beef, and diary products (milk, cheese, yogurt, etc.)

Between 9:34am - 10:52am, LPA interviewed 7 staff: 5 of 7 staff denied the allegation and stated the facility ensure there is enough balanced and nutritious meals for all the clients. 2 of 7 staff who had no knowledge of the allegation stated their job duties is solely to provide housekeeping.

Between 9:04am- 9:31am, LPA interviewed 7 clients: 6 out of 7 clients denied the allegation and stated the facility serves enough food for breakfast, lunch and dinner with fruits and vegetables being incorporated daily in the clients meals with the option for clients to receive more food (such as seconds) upon request. 1 out 7 clients confirmed the allegation and stated the food served appears to look like larger portions but its actually very little food.

On 11/15/2025 between the hours of 11:04am - 11:09am, LPA conducted a tour of the facility kitchen and pantry and observed the following: the refrigerators and freezers are fully stocked with bread, shrimp (in fridge 3), vegetables (in fridge 4), turkey, eggs, lettuce, cheese, tortillas (in fridge 6), hot dogs, milk (in fridge 7), chicken, porkchops, ground beef, buns for hot dogs and burgers (fridge 8) and chicken (in fridge 9). Also LPA observed emergency prepareness and canned good as well.

On 11/15/2025, between the hours of 11:38am - 11:52am, LPA conducted a records review and observed the following: Statements from Rainbow Produce LLC with the sales invoices dated for 02/28/2025, 04/30/2025, 06/30/2025 and 08/31/2025) .The facility purchased groceries from Smart & Finals for the clients on 10/17/2025 and 10/25/2025, Also LPA observed a facility menu for the month of November for the Week 1, Week 2 and Week 3 with a variety of different food options for breakfast, lunch and dinner. LPA did not observe any records to support the facility is not providing adequate food services.

Based on the information gathered, interviews, and record reviews, there is not enough evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is unsubstantiated.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20251104184324

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: 11/14/2025

NARRATIVE

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Allegation: Staff do not ensure that facility is free of pests.
It was alleged that the facility is "plagued" with bed bugs and other pests.

On 11/14/2025 between the hours of 8:39am - 9:01am, LPA interviewed A1 who denied the allegation and explained there are not any recent reports or sighting of bed bugs or other pest. A1 stated housekeeping clean everyday throughout the day during every shift to prevent bed bugs and pest. The facility process for checking and preventing pest such as bed bugs is applying bed bug spray, roach spray, a special spray for the mattress and using a heating machine. A1 also stated the cleaning and sanitation practices to prevent pest problems are spraying the facility every day and encouraging the clients to keep their room clean.

Between 9:34am - 10:52am, LPA interviewed 7 staff: 7 of 7 staff denied the allegation and stated no seeing any bed begs or pest recent and as of 11/13/2025 pest control came out to treat the facility which is a standard routine.

Between 9:04am- 9:31am, LPA interviewed 7 clients: 6 out of 7 clients denied the allegation and stated not observing any pest such as bed bugs or insects in their own room nor around the facility.

1 out 7 clients confirmed the allegation and stated observing pest coming from the bathroom sink and bathroom tub which was report to staff who then exterminated the pest with bug spray.

Between the hours of 10:55am - 11:02am, conducted a tour of the facility and observed the following: in Room 3A, Room 3B, Room 3C, Room 7C, Room 14A, Room 14C, Room 15B, Room 15C, Room 16A, and Room 16B no bed bugs and no pest were seen the during the time of inspection.

Between the hours 11:48am - 11:55am, LPA conducted a records review and observed the following: On 10/21/2025 the facility purchased Bed Bug Killer with Egg Killer from Home Depot. Also 4 Seasons Pest Management (invoices dated 01/09/2025, 03/14/2025, 04/01/2025, 04/25/2025, 04/30/2025, 05/01/2025, 05/08/2025, 05/27/2025, 05/31/2025, 06/12/2025, 06/30/2025, 07/10/2025, 07/22/2025, 08/14/2025, 08/26/2025, 09/23/2025, 10/06/2025, 10/28/2025, 11/13/2025) come to the facility to spray the common areas and check and refill B - stations. Upon review LPA did not observe any records to support ongoing pest activity.

Based on the information gathered, interviews, and record reviews, there is not enough evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is unsubstantiated.

Exit interview conducted with Ibrahim Zayat (Administrator) & copy of the report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025

LIC9099 (FAS) - (06/04)

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