331881164-12-15-2025-18-AS-RORN-DPMP32-20251223095648

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881164
Report Date: 12/15/2025
Date Signed: 12/15/2025 03:48:36 PM

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
10/30/2024 and conducted by Evaluator Mary G Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20241030084533

FACILITY NAME:	RUBIO HOME		FACILITY NUMBER:	331881164
ADMINISTRATOR:	RODRIGUEZ, SHAYLA		FACILITY TYPE:	735
ADDRESS:	51800 AVENIDA RUBIO		TELEPHONE:	(760) 972-4194
CITY:	LA QUINTA	STATE: CA	ZIP CODE:	92253
CAPACITY:	4	CENSUS: 4	DATE:	12/15/2025
		UNANNOUNCED	TIME BEGAN:	02:42 PM
MET WITH:	Cesar Santiago - Direct Support Staff		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Facility did not have adequate staffing to meet client's needs.
Staff are not properly trained to ensure client's mental health needs are being met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mary Flores conducted a subsequent complaint investigation visit regarding the above allegations. LPA met with Cesar Santiago and explained the reason for the visit.

The investigation consisted of the following: On 11/7/24 LPA Delgado conducted an initial investigation visit. On 12/10/25 LPA Flores contacted Inland Regional Center Facility Liaison, Adult Day Program director, and facility’s administrator over the phone and requested pertaining documents. On 12/11/25 LPA Flores conducted interviews with 4 clients and 2 staff over the phone. On 12/15/25 LPA Flores conducted a subsequent complaint visit, interviewed 2 staff, and delivered findings.

The investigation consisted of the following: Regarding allegation: Facility does not have adequate staffing to meet client’s needs: It is alleged staffing ratios are not being followed by facility.

(CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025

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 18-AS-20241030084533

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: RUBIO HOME	FACILITY NUMBER: 331881164
	VISIT DATE: 12/15/2025

NARRATIVE

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Interviews with clients revealed staff are available at the facility to assist as needed. Interviews with staff revealed there are 4-5 staff per shift. Per administrator, not all clients require one-on-one staff. However, when there are clients that require a one-on-one staff arrangements are made to meet the requirement. Per staff schedule for the weeks of 12/7/25 – 12/13/25 and 12/14/25-12/20/25 there is 1 staff scheduled Sunday through Friday and 2 staff on Saturday for the morning shift, there is 1 staff schedule Thursday through Sunday and 2 staff on Monday and Tuesday in the afternoon shift. Per scheduled there are 2 staff schedule Sunday thru Saturday for the night shift. In addition one-on-one staff is scheduled per client showing additional staffing per shift. There are currently two clients receiving one-on-one services. Per document review client #2-#3(C2-C3) require a one-on-one staff. Per staff and administrator clients also attend day program between 7:30am - 3:30pm. Client #1(C1)’s individualized program plan dated: 4/23/24 does note C1 need of a one-on-one staff. Per staff interviews and current records there is sufficient staffing. Therefore, this allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff are not properly trained to ensure client’s mental health needs are being met. It is alleged staff are not being trained to de-escalated clients’ behaviors. Interviews with clients revealed staff assist clients with behavioral needs. Interviews with staff revealed staff have been provided initial training and Crisis Prevention and Intervention training (CPI) to assist the residents as needed. Staff stated they de-escalated the situation by redirecting the clients during a behavior and/or engaging them in a different behavior. Documents review revealed staff was provided CPI training on 8/19/25 and they are provided initial training which covers different topics upon hiring.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted Rosa Lopez Assistant Administrator and a copy of this report was provided.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025

LIC9099 (FAS) - (06/04)

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