331881153-4-7-2026-18-AS-JDHS-DT7UYG-20260416155955

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881153
Report Date: 04/07/2026
Date Signed: 04/07/2026 10:22:15 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/18/2024 and conducted by Evaluator Jarred Torres

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20240618011025

FACILITY NAME:	WESTWARD RESIDENTIAL CARE		FACILITY NUMBER:	331881153
ADMINISTRATOR:	YBANEZ, ROSY		FACILITY TYPE:	735
ADDRESS:	156 FOX TROTTER PLACE		TELEPHONE:	(951) 665-3767
CITY:	SAN JACINTO	STATE: CA	ZIP CODE:	92582
CAPACITY:	4	CENSUS: 4	DATE:	04/07/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator, Rosy Ybanez		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff are not following a licensed physician's orders for a client.

INVESTIGATION FINDINGS:

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On April 7, 2026, Licensing Program Analyst (LPA), Jarred Torres, arrived unannounced at the facility to deliver investigative findings pertaining to the allegation shown above. LPA met with Administrator (AR), Rosy Ybanez, explained the purpose of the visit, and inspected the facility. The investigation consisted of interviews with staff, Resident #1 (R1), pertinent parties, and a review of records.

On June 18, 2024, Community Care Licensing received a complaint alleging that staff did not follow a licensed physician's orders for a client. It was reported that staff were not providing appropriate care to R1 while experiencing a health issue. It was alleged that staff in the facility were the cause of R1's health issue worsening due to hair removal efforts. A telephone interview with the Reporting Party (RP), revealed that they did not witness the medical examinations with R1, and that RP had based their report on appointment notes from R1's physician while performing clerical duties at the clinic.

Continued on LIC 9099-C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Jarred Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

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 18-AS-20240618011025

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WESTWARD RESIDENTIAL CARE	FACILITY NUMBER: 331881153
	VISIT DATE: 04/07/2026

NARRATIVE

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Furthermore, interviews with AR revealed that the facility followed medical orders properly, promptly reported health concerns to R1's Conservator (CV) and physician, and kept CV informed of hair removal efforts and R1's recovery progress. Additionally, AR clarified that the related health issue was not present during initial hair removal efforts, and that facility staff stopped hair removal efforts when the physician ordered the efforts to stop. AR also stated that they advised all staff to discontinue hair removal efforts on all clients once this health issue arose in order to avoid potential health issues with other clients. AR also explained that the physician had difficulty understanding AR's accent and English during the medical visits because English is not AR's first language. AR expressed concerns that R1's physician did not fully understand that the facility had already stopped hair removal efforts due to the language barrier.

LPA conducted a telephone interview with Caregiver #1 (C1) and obtained information pertaining to the allegation. C1 confirmed that once R1 began exhibiting health issues, AR announced to all facility staff that hair removal efforts should be stopped for all clients. This corroborates with the information that AR provided.

Additionally, an interview with CV revealed that the facility provides appropriate care to R1, and that the facility was communicating with the responsible party regularly about R1's health issue and recovery progress. CV also confirmed that the facility stopped hair removal efforts once the physician wrote the orders.

LPA attempted to conduct an interview with R1; however, R1 was unable to provide relevant information pertaining to the listed allegation.

Lastly, a record review was conducted. LPA reviewed R1's Medication Administration Record, physician's notes, daily notes, the facilities LIC 9020, Register of Facility Clients/Residents, R1's admission agreement, and R1's conservatorship report. The record review revealed that the facility does their due diligence in administering medications and documenting health issues. Also, the physician's notes do not specify how the clinic knows if facility staff had stopped or had not stopped hair removal efforts once orders were given.

Continued on LIC 9099-C...

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Jarred Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20240618011025

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WESTWARD RESIDENTIAL CARE	FACILITY NUMBER: 331881153
	VISIT DATE: 04/07/2026

NARRATIVE

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Based on interviews with staff, R1, RP, and CV, and a review of the facility's daily notes and the physician's notes, the allegation that staff are not following a licensed physician's orders for a client is deemed unsubstantiated. Although the 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, the allegation is unsubstantiated.

An exit interview was conducted and this report of findings and an LIC 811 - Confidential Names list were discussed and provided to Administrator, Rosy Ybanez, whose signature on this form confirms receipt.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Jarred Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2026

LIC9099 (FAS) - (06/04)

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