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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360951409
Report Date: 10/21/2025
Date Signed: 10/21/2025 04:27:41 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
07/16/2025 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20250716154833
FACILITY NAME:GALONGO MICHAEL HOMEFACILITY NUMBER:
360951409
ADMINISTRATOR:DANCY, BARBARAFACILITY TYPE:
735
ADDRESS:1452 W 5TH STTELEPHONE:
(909) 983-2957
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:6CENSUS: 3DATE:
10/21/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Staff Robin SconyersTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Staff are neglectful which lead to client hitting another client.
Staff did not ensure medical care was provided to client in care
Staff retaliated against client in care
Facility changed physical plant which led to limited bathrooms and bedrooms for clients in care.
Staff refused to assist client in care
Staff manipulated client in care into giving away personal items
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Staff and explained the purpose of the visit. The investigation consisted of client and staff interviews with document review.

For the allegation, Staff are neglectful which lead to client hitting another client.

LPA conducted (2) client interviews. 2 out of the 2 clients stated staff are not neglectful and are always at the facility. LPA conducted (3) staff interviews. 3 out of the 3 staff indicated facility staff are not neglectful and will redirect clients in the event physical aggressiveness occurs between clients.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
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 56-AS-20250716154833
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: GALONGO MICHAEL HOME
FACILITY NUMBER: 360951409
VISIT DATE: 10/21/2025
NARRATIVE
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For the allegation, Staff did not ensure medical care was provided to client in care.

LPA observed documentation for Client #1 (C1) indicating medical was provided when needed. LPA conducted (3) staff interviews. 3 out of the 3 stated medical care was provided to clients in care when needed.

For the allegation, Staff retaliated against client in care.

LPA conducted (2) client interviews. 2 out of the 2 clients stated facility staff have not retaliated against clients in care. LPA conducted (3) staff interviews. 3 out of the 3 staff stated no retaliation has ever been given to clients in care.

For the allegation, Facility changed physical plant which led to limited bathrooms and bedrooms for clients in care.

LPA observed facility sketch that does not show any physical plant changes as facility sketch matched facility floor plan. Also, LPA conducted (2) client interviews where 2 out of the 2 clients stated they had access to bathrooms and bedrooms at all times.

For the allegation, Staff refused to assist client in care.

LPA conducted (2) client interviews. 2 out of the 2 clients stated facility did not refuse to assist clients in care. LPA conducted (3) staff interviews that indicated facility staff did not refuse assistance to clients in care.

For the allegation, Staff manipulated client in care into giving away personal items.

LPA conducted (2) client interviews. 2 out of the 2 clients stated facility staff do not manipulate clients in care into giving away personal items. LPA conducted (3) staff interviews. 3 out of the 3 staff indicated facility staff do not manipulate clients into giving away their personal items. Staff #1 (S1) stated C1’s furniture item was given to facility as C1 did not want furniture. S1 implied this was an agreement between facility and C1.

Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and this report (LIC9099) were discussed and provided to Staff Robin Sconyers.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2