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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006065
Report Date: 11/19/2025
Date Signed: 11/19/2025 03:21:34 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
01/16/2025 and conducted by Evaluator Garlli Tat
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250116153611
FACILITY NAME:ST. MARCOS CARE HOMEFACILITY NUMBER:
306006065
ADMINISTRATOR:PESIGAN, FELIXFACILITY TYPE:
735
ADDRESS:6353 SAN MARCOS WAYTELEPHONE:
(714) 723-0341
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY:4CENSUS: 3DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
02:34 PM
MET WITH:Direct Support Staff Helen ObligacionTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff is refusing to meet client’s needs.
Staff is refusing to allow client to return to the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to deliver the findings on the above allegations. LPA met with staff (S1) Helen Obligacion and explained the reason for the visit. S1 notified Licensee (LE) Melody Bungcayao via telephone. During the course of the investigation, LPA inspected the facility, interviewed staff and residents, obtained and reviewed resident records.

It was alleged that staff is refusing to meet Client 1’s (C1) needs. Per documentation review revealed that C1’s admissions date was September 3, 2024. C1’s Individual Program Plan (IPP) dated September 27, 2024, by the Regional Center of Orange County (RCOC) stated that C1 is diagnosed with autism spectrum disorder. Per Physician’s Report dated November 08. 2024, C1 is ambulatory, has a speech delay, but can bathe, feed, dress, care for, and perform toileting needs independently. Interview with C1 stated that St. Marcos Care Home was “fine” and their needs were taken care of.

Continued on LIC9099-C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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-20250116153611
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: ST. MARCOS CARE HOME
FACILITY NUMBER: 306006065
VISIT DATE: 11/19/2025
NARRATIVE
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Interview with staff (S1) revealed that C1 is primarily independent and only requires reminders to wear clean clothes and deodorant. Interview with 3 out of 3 clients stated that their care is being met by the staff at the facility. LPA conducted interviews with 2 of 2 witnesses (W1 & W2). Interview with W1 neither confirmed nor refuted that C1’s needs were met, but mentioned it was a “bad experience”. Interview with W2 stated C1’s needs were met, but it was not a good fit.

It was alleged that staff is refusing to allow client to return to the facility. Interview conducted with staff (S2) stated that C1 went home after an incident that occurred at the facility. C1’s family member picked up C1 to go home after the incident regarding C1 urinating on the neighbor’s fence and police department involvement. C1 never returned to the facility afterwards. S2 stated that C1 was able to come back until an appropriate facility was found. C1 then voluntarily moved out of the facility on January 31, 2025. Interview with C1 stated that they were never told that they could not return to the facility.

Based on the evidence gathered during this investigation, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

An exit interview was conducted with Administrator via telephone, and a copy of the report was reviewed and provided with an authorized representative at the facility.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Garlli Tat
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
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