336425633-3-5-2026-18-AS-RORN-DSAKGS-20260318075357

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336425633
Report Date: 03/05/2026
Date Signed: 03/05/2026 03:53:21 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
03/30/2023 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20230330150313

FACILITY NAME:	NELSON ADULT RESIDENTIAL CARE HOME		FACILITY NUMBER:	336425633
ADMINISTRATOR:	ALAN ALIAN JR.		FACILITY TYPE:	735
ADDRESS:	2216 FIELDING RD.		TELEPHONE:	(951) 224-9068
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92506
CAPACITY:	6	CENSUS: 6	DATE:	03/05/2026
		UNANNOUNCED	TIME BEGAN:	12:21 PM
MET WITH:	Charmaine Estigoy		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff hit resident

INVESTIGATION FINDINGS:

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On March 5, 2026 the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegation and to deliver findings. The Department was met by Charmaine Estigoy, lead staff and the purpose of the visit was explained.
Investigation consisted of the following:
On April 3, 2023, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above. During the visit, it was determined that the complaint required further investigation.
On February 24, 2026 the Department interviewed Placement Agency’s Quality Assurance specialist (W1) and Service Coordinator (W2) via telephone.
On March 5, 2026 the Department obtained staff roster (dated: 11/14/25), client roster (dated 6/1/25), Individual Program Plans (dated 6/30/25, 3/11/25, 1/7/26, 9/16/24, 8/5/25), ISPs, Behavior ISP (dated: 6/5/25, 3/7/25, 1/5/26, 9/7/25, 8/3/24) and Admission Agreements and signed client’s rights (dated: 6/8/18, 6/14/13, 6/17/13, 6/11/13, 11/15/21, 6/28/16), interviewed Administrator (A1), 3 staff (S1-S3) and 6 clients (C1-C6).
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

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-20230330150313

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: NELSON ADULT RESIDENTIAL CARE HOME	FACILITY NUMBER: 336425633
	VISIT DATE: 03/05/2026

NARRATIVE

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The investigation revealed the following:

Allegation: staff hit resident

The detail of complaint alleges that on or around December 22, 2022 staff hit resident.

On March 5, 2026, at 1:45pm the Department interviewed Administrator (A1) Lora Mae Aquino, who denied the allegation and stated that there were no reports of a client being hit at the facility. A1 further stated that the facility has a zero tolerance for abuse and if it had been reported, she would investigate and disciplinary action would follow if needed.

On March 5, 2026, between 2:00pm and 3:00 pm, the Department interviewed 3 staff (S1-S3) regarding the allegation and of those interviewed 3 out of 3 staff denied the allegation stating that they have never hit a client nor had they witnessed any other staff hitting a client. 3 out of 3 state that they have had client’s right training and are CPI certified.

On March 5, 2026 between 2:00pm and 3:00pm the Department interview 6 clients regarding the allegation and of those interviewed 5 out of 6 was verbal and stated that they feel safe at the facility and that the staff treat them “good.” 5 out of 6 denied ever being hit by staff. 1 out of 6 could not answer any of the Department’s questions.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20230330150313

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: NELSON ADULT RESIDENTIAL CARE HOME	FACILITY NUMBER: 336425633
	VISIT DATE: 03/05/2026

NARRATIVE

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On February 24, 2026, the Department spoke by telephone with the Placement Agency’s Quality Assurance Specialist (W1) and Service Coordinator (W2) who stated that there were no reports, concerns or investigations regarding facility staff hitting a client in care.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.

There were no deficiencies cited during today's visit. Exit interview conducted and copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

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