306004174-6-4-2026-22-AS-AORZ-DV63WL-20260617183655

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004174
Report Date: 06/04/2026
Date Signed: 06/04/2026 10:51:06 AM

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
05/18/2023 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20230518154219

FACILITY NAME:	DUELAS GUEST HOME		FACILITY NUMBER:	306004174
ADMINISTRATOR:	LILIA DUELAS		FACILITY TYPE:	735
ADDRESS:	10721 VICKERS DRIVE		TELEPHONE:	(714) 638-8219
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92840
CAPACITY:	6	CENSUS: 3	DATE:	06/04/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Delfin Duelas, Administrator		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility did not meet client needs
Facility is not following doctor prescribed diet
Facility is not providing activities

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by Staff #1 at 8am. LPA met with Administrator, Delfin Duelas, and explained the purpose of the visit.

The facility has a census of three clients in care. At time of entry, LPA observed two of the three clients waiting to be picked up by job coaches for Community Based Day Programs. LPA attempted to interview two of two clients present but Client #1 (C1) was non-verbal and Client #2 (C2) had limited verbal communication. Both clients smiled at LPA and when LPA gave a thumbs up sign and thumbs down sign, clients reacted to the thumbs up sign. Client #3 (C3) had already left for Day Program.

LPA observed two of two clients to be groomed, clean and dressed for the day and C2 had make-up on. . LPA did not observe dirt under either clients' fingernails. Both clients were showered earlier in the morning.
(Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

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 22-AS-20230518154219

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: DUELAS GUEST HOME	FACILITY NUMBER: 306004174
	VISIT DATE: 06/04/2026

NARRATIVE

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(Continued from LIC 9099)

LPA obtained the following documents for Client #1 (C1): Face Sheet, Physician's Reports dated 3/25/26 and 1/11/2022. LPA also obtained Individualized Personalized Program (IPP) and Client Development and Evaluation Reports (CDERs) from 9/9/2025 and Semi Annual Report from 3/8/2023, Admissions Agreement, Weekly Meal Plans, Sample Menus and Medication Administration Record. LPA also obtained Social Activities Ledger for May and April 2026.

It was alleged that the Facility did not meet client needs. LPA attempted to interview Client #1 (C1) but C1 is non-verbal. LPA asked C1 if they were happy at the facility. When LPA gave the thumbs up sign, C1 smiled. C1 did not respond when LPA gave the thumbs down sign. LPA observed C1 was clean, there were no odors detected and fingernails were short, groomed and clean. Two of two staff interviewed stated C1 and other clients shower daily. Staff shared that C1 did not like to take showers and would wet their bed. C1 has been trained by staff to shower daily and to use the bathroom regularly. Two of two witnesses interviewed confirmed clients at the facility are clean and dressed for the day and stated the facility appears to be taking care of clients' needs.

LPA investigated the allegation that the Facility is not following doctor prescribed diet LPA observed the lunch C1 would be taking to Day Program and noted there was a sandwich, Capri sun, crackers and fruit. There were no chips observed in C1's lunch. C1's Medical Assessment, dated 3/25/2026, notes R1 has a diagnosis of Severe Intellectual Disability, Non-verbal. There were no special physician prescribed diets. LPA also had the Medical Assessment for C1 from 1/11/2022 and no special prescribed diets were noted on the form. Administrator (AD) stated that the doctor verbally encouraged for client to have a low sodium diet; since at one time C1 had swollen legs. AD shared that the doctor had prescribed water pills and C1 and staff do not cook with a lot of sodium. Individualized Program Plans (IPPs) and Client Development and Evaluation Reports (CDERs) from 9/9/2025 were reviewed. Two of two staff stated they do not cook with a lot of salt, for all clients, but no client has a prescribed low sodium diet. Two of two witnesses also stated clients do not eat a lot of salty items and that clients are hydrated throughout the day. Two of two witnesses have not observed moldy water bottles. LPA obtained a copy of the sample diet for C1. Staff stated that in the past, C1 ate chips but that was removed from C1's diet when there were issues with a swollen leg.
(Continued on LIC 9099-C1)

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20230518154219

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: DUELAS GUEST HOME	FACILITY NUMBER: 306004174
	VISIT DATE: 06/04/2026

NARRATIVE

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(Continued from LIC 9099-C)

It was also alleged that the Facility is not providing activities. Administrator (AD) provided LPA with copies of activities documentation. During the week three of three clients attend Day Programs but on weekends, staff take the three clients grocery shopping or outdoors to the parks nearby.

Two of two staff interviewed stated clients do chair exercise, and love to "sing" and dance to music; as well as try samples at Costco. Staff also train clients with life skills, such as how to fix their beds. Two of two staff denied the allegation that activities were not provided. Two of two witnesses also denied the allegation; stating clients are engaged in activities. LPA observed clients were ready and happy to go to Day Program. Both clients smiled and waved at LPA upon exiting the facility.

Based on LPA's file review, interviews and observations, the allegations that the: Facility did not meet client needs, Facility is not following doctor prescribed diet and Facility is not providing activities are Unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with AD Delfin Duelas and a copy of this report and LIC 811 were provided to the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

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