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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880991
Report Date: 02/25/2025
Date Signed: 02/25/2025 10:51:02 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2021 and conducted by Evaluator Melody Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210708140835
FACILITY NAME:BEST CARE GUEST HOMEFACILITY NUMBER:
361880991
ADMINISTRATOR:GARCIA, RICHIEFACILITY TYPE:
740
ADDRESS:817 S OAKS AVENUETELEPHONE:
(909) 638-8871
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:14CENSUS: 12DATE:
02/25/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Rosario DalusongTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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Staff not abiding by facility's fire clearance.
INVESTIGATION FINDINGS:
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On 02/25/2025 at 09:30 AM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility to deliver findings for the allegation listed above. LPA Brown was greeted and granted entry by a staff member and Administrator Richie Garcia was contacted and informed of the visit. LPA Brown explained the purpose of the visit to Staff #4 (S4). The investigation consisted of observation, interviews, and a review of pertinent documentation.

The investigation was conducted by LPAs Elecia Weathersby and Melody Brown. The investigation consisted of records review, observations and interviews with relevant parties. The allegation indicates that staff not abiding by facility's fire clearance. LPAs Weathersby and Brown obtained evidence to corroborate the allegation above. Through the information gathered during the investigation on 07/13/2021, it was confirmed by observation, documents review and interviews that staffs’ are not abiding by facility’s fire clearance. Interviews with Resident #1 (R1), Resident #2 (R2) and Resident #4 (R4) indicated that staffs’ at the facility are locking the side gate and front gate around 06:00 PM, 7:00 PM or 07:30 PM. **Cont. in LIC9099C***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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 5
Control Number 18-AS-20210708140835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: BEST CARE GUEST HOME
FACILITY NUMBER: 361880991
VISIT DATE: 02/25/2025
NARRATIVE
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Staff #1 (S1) and Staff #3 (S3) interviews indicated that they are locking the front gate around 07:00 PM but the side gate is always open. However, during the facility visit on 07/13/2021, LPAs Weathersby and Brown observed a padlock in the side gate/perimeter fence gate. Moreover, during the visit on 07/13/2021, LPAs asked that S1 remove the lock and S1 complied.

Moreover, during the facility visit today, 02/25/2025, LPA Brown will assessed immediate civil penalty of $500.00 for the CCR 87203 Fire Safety deficiency issued.

Based on LPAs Weathersby and Brown’s observations and interviews, the preponderance of evidence standard has been met, and therefore the above allegation of staff not abiding by facility's fire clearance is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations, (Title 22, Division 6 & Chapter 8) is being cited on the attached LIC9099D.

An exit interview was conducted where this report, LIC9099, LIC9099D, LIC421BG and Appeal Rights were discussed and provided to staff Rosario Dalusong.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 18-AS-20210708140835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: BEST CARE GUEST HOME
FACILITY NUMBER: 361880991
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/26/2025
Section Cited
CCR
87203
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87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by:


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During the facility visit on 07/13/2021, the licensee agrees to remove the padlock observed on the side gate/perimeter fence gate and stated not to lock the side gate/perimeter fence gate without Licensing and Fire Marshall approval. Licensee immediately removed the padlock observed on the side gate/perimeter fence gate during visit on 07/13/2021. Plan of Correction (POC) cleared.
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Based on observation and interviews, the Licensee did not comply with the regulation cited above by not ensuring to protect life and property against fire and panic. LPAs observed the side gate/perimeter fence gate that exits to the front yard with a locked pad lock. This poses an immediate health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2021 and conducted by Evaluator Melody Brown
COMPLAINT CONTROL NUMBER: 18-AS-20210708140835

FACILITY NAME:BEST CARE GUEST HOMEFACILITY NUMBER:
361880991
ADMINISTRATOR:GARCIA, RICHIEFACILITY TYPE:
740
ADDRESS:817 S OAKS AVENUETELEPHONE:
(909) 638-8871
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:14CENSUS: 12DATE:
02/25/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Rosario DalusongTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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Staff threatened resident.
Staff do not treat residents with dignity and respect.
INVESTIGATION FINDINGS:
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On 02/25/2025 at 09:30 AM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility to deliver findings for the allegations listed above. LPA Brown was greeted and granted entry by a staff member and Administrator Richie Garcia was contacted and informed of the visit. LPA Brown explained the purpose of the visit to Staff # 4 (S4). The investigation consisted of observation, interviews, and a review of pertinent documentation.

The investigation was conducted by LPAs Elecia Weathersby and Melody Brown. The investigation consisted of records review, observations and interviews with relevant parties. The first allegation indicates that staff threatened resident. During the investigation, LPAs Weathersby and Brown did not find evidence to corroborate the allegation. Six (6) of eight (8) residents reported that they did not witness a staff threaten a resident. Three (3) of three (3) staff indicated that they never threatened a resident at the facility. During the facility visit on 07/13/2021, LPAs Weathersby and Brown observed staff assisting residents and no staff was observed threatening a resident. ***Continuation in LIC9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20210708140835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: BEST CARE GUEST HOME
FACILITY NUMBER: 361880991
VISIT DATE: 02/25/2025
NARRATIVE
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The second allegation indicates that staff do not treat residents with dignity and respect. Seven (7) of eight (8) residents reported that staffs’ are treating them with dignity and respect. Three (3) of three (3) staff indicated that they always treat their residents with dignity and respect, and they did not witness a staff at the facility not treating residents with dignity and respect. During the facility visit on 07/13/2021, LPAs Weathersby and Brown observed staffs’ at the facility assisting residents and treating residents with dignity and respect.

Based on interviews and observation, the allegation staff threatened resident (Allegation #1), and staff do not treat residents with dignity and respect (Allegation #2) are UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, where this report (LIC9099) was discussed and provided to staff Rosario Dalusong.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5