306006076-9-10-2025-22-AS-APAO-DLP4TE-20250919192300

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006076
Report Date: 09/10/2025
Date Signed: 09/10/2025 10:34:19 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
09/29/2023 and conducted by Evaluator Celine Rodriguez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230929130648

FACILITY NAME:	BENARD HOME 1		FACILITY NUMBER:	306006076
ADMINISTRATOR:	ANGELITO AGUILAR		FACILITY TYPE:	735
ADDRESS:	11142 WAKEFIELD		TELEPHONE:	(310) 612-1611
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92840
CAPACITY:	6	CENSUS: 4	DATE:	09/10/2025
		UNANNOUNCED	TIME BEGAN:	07:00 AM
MET WITH:	Facility Administrator - Amy Atrero		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

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Facility staff punched a client

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced continuation visit to the facility and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, was greeted, and granted entry by facility administrator (AD) Amy Atrero.

It was alleged that facility staff punched a client. 2 out of 2 client interviews, 1 out of 1 staff interview, and 1 out of 1 family member of client 1 (C1) did not corroborate with the allegation. Per record review, of C1's individual program plan conducted by Orange County Regional Center dated for 7/10/2025, it was verified that C1 "engages in physical aggression and self injurious behaviors (such as hitting/punching/scratching self until bleeding or bruised, sticking small items in ears, property destruction), and making false statements such as someone being fired or about being hit". Record review also revealed that the staff that is accused of punching C1, is not employed at the facility. On this visit, per observation of C1, C1 did not have any bruises, however had superficial scratches, to which C1 confirmed was self-inflicted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

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-20230929130648

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: BENARD HOME 1	FACILITY NUMBER: 306006076
	VISIT DATE: 09/10/2025

NARRATIVE

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Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with AD Atrero.

A copy of this report was provided and explained.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Celine Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

LIC9099 (FAS) - (06/04)

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