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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361881169
Report Date: 07/08/2026
Date Signed: 07/08/2026 03:16:09 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
06/01/2026 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20260601122927
FACILITY NAME:ANDREW VILLA LLCFACILITY NUMBER:
361881169
ADMINISTRATOR:GHAREB, RAWANFACILITY TYPE:
735
ADDRESS:27051 VILLA AVETELEPHONE:
(909) 362-5346
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:6CENSUS: 3DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
01:38 PM
MET WITH:Administrator, Rawan GharebTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Staff did not prevent client from being severely sunburned.
Staff does not ensure client's showering needs are being met.
Staff does not ensure client is provided clean clothing.
Staff leaves client soiled for extended periods of time.
Staff does not ensure client utilizes required leg braces and wheelchair.
INVESTIGATION FINDINGS:
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On 07/08/2026 at 1:30PM Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to the residence to deliver findings for the above allegations. LPA discussed the purpose of the visit with Administrator, Rawan Ghareb. The investigation was based on observation, interview and record review.

In regards to the allegation of staff did not prevent client from being severely sunburned:
LPA interviewed staff and the relative of Client 1 (C1). LPA observed photographs of the client(s) wearing appropriate clothing and hat. The relative stated that staff kept them informed by communicating and sharing photographs of C1. Staff denied the allegation and stated that all of the clients used sunscree. Based on interviews and observation, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff does not ensure client's showering needs are being met:
LPA interviewed staff an an educator. LPA observed C1 to have clean clothing and no mal odors.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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-20260601122927
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: ANDREW VILLA LLC
FACILITY NUMBER: 361881169
VISIT DATE: 07/08/2026
NARRATIVE
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Staff denied the allegation. The educator stated that C1 arrived to school clean. Based on interviews and observation, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff does not ensure client is provided clean clothing:
LPA observed Client 1 (C1) room to have clean linen on their bed, neatly folded clothes hanging in their closet and in the drawers. No mal odors were present. Based on observation, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff leaves client soiled for extended periods of time:
LPA interviewed staff and a relative of C1. The relative denied the allegation and stated that they visit the residence regularly and have not witnessed this. Staff denied the allegation and stated that C1 was sometimes late to school due to their changes. Based on interview, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff does not ensure client utilizes required leg braces and wheelchair:
LPA interviewed staff and reviewed records. Staff stated that C1 ambulates by walking and the use of the wheelchair. Staff stated that the leg braces were causing dark marks on the skin of C1. The review of records revealed that C1 was assessed by a physician on 12/23/2025 and 05/04/2026. Based on interview and record review, this allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and a copy was provided to Administrator, Rawan Ghareb..
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
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