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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880991
Report Date: 06/17/2025
Date Signed: 06/17/2025 10:59:39 AM

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
06/10/2025 and conducted by Evaluator Raquel Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250610153450
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:
06/17/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Staff Grace CelisTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Facility is operating out of ratio.
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 Grace Celis and explained the purpose of the visit. The investigation consisted of staff and resident interviews along with obtaining documentation pertaining to allegation.

For the allegation, Facility is operating out of ratio.

LPA Hernandez conducted (4) staff interviews. 4 out of the 4 staff indicated facility has sufficient staff to supervise residents in care. Staff #2 (S2) stated most residents require limited assistance for ADL's (Activities of Daily Living). LPA Hernandez conducted (2) resident interviews. 2 out of the 2 residents stated facility staff is sufficient and denied facility needing additional staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
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-20250610153450
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: BEST CARE GUEST HOME
FACILITY NUMBER: 361880991
VISIT DATE: 06/17/2025
NARRATIVE
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Additionally, LPA Hernandez reviewed Resident #1 (R1) and Resident #2 (R2) file to ensure no higher level of care may be needed. LPA Hernandez observed no residents are on hospice care or need a higher level of care. LPA Hernandez observed sufficient staff to supervise and care for residents in care.

Based on the evidence gathered during today’s investigation, the allegations 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.

During today’s visit, no deficiencies pertaining to the allegation were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Staff Grace Celis.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2