198603800-7-14-2025-28-AS-MGFS-DJTN9M-20250722101611

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603800
Report Date: 07/14/2025
Date Signed: 07/14/2025 03:52:26 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/09/2025 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250709085650

FACILITY NAME:	CANDLELIGHT HOME BARTLETT		FACILITY NUMBER:	198603800
ADMINISTRATOR:	GIL CALINGASAN		FACILITY TYPE:	735
ADDRESS:	3216 BARLETT AVE		TELEPHONE:	(626) 927-9253
CITY:	ROSEMEAD	STATE: CA	ZIP CODE:	91770
CAPACITY:	4	CENSUS: 4	DATE:	07/14/2025
		UNANNOUNCED	TIME BEGAN:	01:01 AM
MET WITH:	Gil Calingasan, Administrator		TIME COMPLETED:	03:59 PM

ALLEGATION(S):

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Licensee was operating without a licence.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez made an initial 10-day visit to investigate the above allegation. LPA met with Ilda Villegas, DSP and discussed the purpose of the visit. Gil Calingasan arrived a short time later and assisted with the visit.

The investigation consisted of LPA taking a tour of facility, interviewing Licensee, two (2) staff (#1-#2) attempted to interview two (2) clients (C#1-#2), reviewing documentation from East Los Angeles Regional center and State of California Secretary of State, and obtained and reviewed staff and resident rosters.

The Investigation revealed, Allegation: Licensee was operating without a license. It is alleged that Licensee sold Excel Healthcare, Inc on December 31, 2024, that included an Adult Day Care center, and the community care facility known as Candlelight Home Bartlett (198600875) and was operating without a License from January 1, 2025, to April 23, 2025, in violation of Department regulations. (continued on 9099C)

Substantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/09/2025 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250709085650

FACILITY NAME:	CANDLELIGHT HOME BARTLETT		FACILITY NUMBER:	198603800
ADMINISTRATOR:	GIL CALINGASAN		FACILITY TYPE:	735
ADDRESS:	3216 BARLETT AVE		TELEPHONE:	(626) 927-9253
CITY:	ROSEMEAD	STATE: CA	ZIP CODE:	91770
CAPACITY:	4	CENSUS: 4	DATE:	07/14/2025
		UNANNOUNCED	TIME BEGAN:	01:01 AM
MET WITH:	Gil Calingasan, Administrator		TIME COMPLETED:	03:59 PM

ALLEGATION(S):

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Licensee did not notify required agencies of change of ownership

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez made an initial 10-day visit to investigate the above allegation LPA met with Ilda Villegas, DSP and discussed the purpose of the visit. Gil Calingasan Administrator arrived a short time later and assisted with the visit.
The investigation consisted of LPA taking a tour of facility, interviewing Licensee (L), two (2) staff (#1-#2) attempted to interview two (2) clients, obtained and reviewed staff and resident rosters.

The Investigation revealed, Allegation: Licensee did not notify required agencies of change of ownership. It is alleged that Licensee did not notify required agencies of change of ownership. LPA interviewed Licensee and two (2) staff and all denied the allegation and stated that Licensing was notified. On July 12, 2024, Licensee contacted the department to advise of change of ownership and to ask for required steps to proceed. There is insufficient evidence to substantiate this allegation. 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 and copy of report provided.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 28-AS-20250709085650

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: CANDLELIGHT HOME BARTLETT	FACILITY NUMBER: 198603800
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/15/2025 Section Cited CCR 80005(a)	1 2 3 4 5 6 7	(a) Unless a facility is exempt from Licensure as specified in section 80007, no adult, firm, partnership, association, corporation, county, city public agency, or other governmental entity shall operate, establish manage, conduct or maintain a community care facility, or hold out, advertise, or represent by any means to do so, without first obtaining a current valid license from the licensing agency, This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee will write a detail letter that includes notification to the Community Care Licensing of the sale of Excell Healthcare Inc.
	8 9 10 11 12 13 14	The department was not notified of the sale of Excell Healthcare Inc on 12/31/2024 and Candlelight Home Bartlett (198600875) was operating without a license from January 1, 2025, until it became licensed under Bartlett Healthcare LLC (198603800).	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 28-AS-20250709085650

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: CANDLELIGHT HOME BARTLETT	FACILITY NUMBER: 198603800
	VISIT DATE: 07/14/2025

NARRATIVE

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(Continued from 9099)

LPA interviewed Licensee and Licensee stated that he thought he was doing the process correctly. Licensee stated that he notified the Department about selling Excel Healthcare Inc but could not provide proof to the Department. One staff member stated staff was aware of the pending sale from another source but was never notified by Licensee. Administrator S2 stated that he was never notified that Excel Healthcare Inc was sold to third party. Review of records from East Los Angeles Regional Center dated July 2, 2025 and State of California Secretary of State form filed on 01/03/2025 show that on 12/31/2025 Excel Healthcare Inc was sold. Excel Healthcare Inc consisted of an Adult Day Care center and Candlelight Home Bartlett (198600875). The department was not notified of the sale of Excel Healthcare Inc on 12/31/2024 and Candlelight Home Bartlett (198600875) was operating without a license from January 1, 2025, until it became licensed under Bartlett Healthcare LLC (198603800) on 04/23/2025. There is sufficient evidence to substantiate this allegation.

Based on LPAs interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

Exit interview held, and a copy of this report was provided along with appeal rights.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

LIC9099 (FAS) - (06/04)

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