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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003842
Report Date: 05/07/2025
Date Signed: 05/07/2025 12:02:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/28/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250428160451
FACILITY NAME:GILBERT CARE HOME-MILANFACILITY NUMBER:
306003842
ADMINISTRATOR:ROSANNA MAGKAWASFACILITY TYPE:
735
ADDRESS:322 N. MILAN PLACETELEPHONE:
(714) 484-1880
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:6CENSUS: 4DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
08:14 AM
MET WITH:Christian Talento-Caregiver, Arnold Andal-AdministratorTIME COMPLETED:
12:17 PM
ALLEGATION(S):
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Lack of staffing resulted in inadequate client supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced initial 10-Day complaint visit to initiate the investigation into the above allegation and to deliver the findings of the investigation. LPA was greeted and granted entry into the facility and met with Caregiver Christian Talento. LPA explained the reason for the visit. Administrator (AD) Arnold Andal and Noel Villegas arrived during the visit.

This agency has investigated the complaint alleging that lack of staffing resulted in inadequate client supervision. Regarding the allegation, the following was revealed: During the course of the interviews three of eight individuals interviewed confirmed the allegation. During the course of the investigation LPA reviewed the Personnel Report (LIC500) dated January 05, 2025. Per Personnel Report on average there are four caregivers for the morning shift from 8:00 a.m. to 2:00 p.m., four caregivers for the evening shifts from 2:00 p.m. to 10:00 p.m. and three caregivers for the nigh shift from 10:00 p.m. to 8:00 a.m. During the initial visit on May 07, 2025, LPA observed five members on duty for three clients in care.
CONTINUED ON LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
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 22-AS-20250428160451
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GILBERT CARE HOME-MILAN
FACILITY NUMBER: 306003842
VISIT DATE: 05/07/2025
NARRATIVE
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During the course of the interviews with staff, Staff 1 (S1) reported that the facility has enough staff to care for the clients. S1 reported that two staff members were caring and supervising Client 1 (C1) during the day of the incident. Per S2, four staff were working to care for three clients on April 25, 2025. S2 reported that if staff prevent C1 from doing what she wants that C1's behavior will only escalate. S2 stated that C1 can be unpredictable and reported that C1 can be uncontrollable. During the investigation LPA reviewed documents including the Individual Program Plan (IPP) dated July 30, 2024, for C1. Per IPP, C1 will refuse to comply with staff requests to carry out activities of daily living or stop inappropriate behaviors.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported due to conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, this allegation is deemed UNSUBSTANTIATED.


For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.
LPA conducted an exit interview with Licensee Noel Villegas, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
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