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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005768
Report Date: 12/23/2025
Date Signed: 12/23/2025 11:44:36 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/16/2025 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251216100734
FACILITY NAME:SAINT AGNES CAREFACILITY NUMBER:
306005768
ADMINISTRATOR:LESTER DEL ROSARIOFACILITY TYPE:
740
ADDRESS:4931 CARTHAGE STREETTELEPHONE:
(657) 258-9152
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY:6CENSUS: 6DATE:
12/23/2025
UNANNOUNCEDTIME BEGAN:
07:34 AM
MET WITH:Lester Del RosarioTIME COMPLETED:
09:15 AM
ALLEGATION(S):
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Staff do not ensure that residents are provided a comfortable environment while in care
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Administrator (AD) Lester Del Rosario and explained the purpose of the inspection.

Complaint alleges staff do not ensure residents are provided with a comfortable environment due to loud children running upstairs and fighting all the time.

During the course of the investigation, LPA conducted a tour of the facility and interviewed four facility residents and two staff. The facility is a two-story home. The first story consists of six resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. The second story consists of one office, two bedrooms, one bathroom, living room, and kitchen, and it is where Licensee, one staff, two tenants, and Licensee’s two grandchildren reside. (Cont. LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
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 2
Control Number 22-AS-20251216100734
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SAINT AGNES CARE
FACILITY NUMBER: 306005768
VISIT DATE: 12/23/2025
NARRATIVE
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LPA observed Licensee’s two grandchildren, ages four and six, to be present upstairs during the tour of the facility, however, LPA did not hear the children running or fighting.

During their interview, one of four residents corroborated the allegation and stated loud children are running upstairs, however, denied hearing anyone fighting. One of four residents denied the allegation and stated the children are not loud and they have not heard them running or fighting. Two of four residents stated they occasionally hear the children upstairs, however, denied hearing anyone running or fighting. During their interview, two of two staff stated the children will occasionally be heard playing upstairs, but denied they are running or fighting all the time.

Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff do not ensure that residents are provided a comfortable environment while in care. Although the above 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 at this time the above allegation is unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2