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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361881186
Report Date: 03/28/2025
Date Signed: 03/28/2025 01:13:43 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
03/24/2025 and conducted by Evaluator Becky Mann
COMPLAINT CONTROL NUMBER: 56-AS-20250324144020
FACILITY NAME:SOFIA CARE CENTERFACILITY NUMBER:
361881186
ADMINISTRATOR:ALLISON LAYGO ENRIQUEZFACILITY TYPE:
735
ADDRESS:19173 YANAN ROADTELEPHONE:
(760) 810-0837
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:6CENSUS: 2DATE:
03/28/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Neil Clavecillas, Lead StaffTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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9
Personal rights
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Neil Clavecillas, Lead Staff and explained the purpose of the visit. The investigation consisted of LPA pertinent record reviews, observations and interviews with staff and clients.

The allegation of personal rights. All staff interviewed denied any physical abuse to the clients in care. Two (2) clients interviewed reveal not enough evidence to corroborate the allegation. LPA observations and record reviews, in September 2024, the psychiatrist stated that Client #1 (C1) is a danger to others and danger to self. On the After Visit Summary from Providence St Mary Medical Center from 11/23/2024 to 12/01/2024, C1 is diagnose with Aggression, Anxiety, Pervasive Development, Development Delay, Behavior Problem, Adult Obsessive Compulsive Disorder and Intermittent Explosive Disorder.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
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-20250324144020
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: SOFIA CARE CENTER
FACILITY NUMBER: 361881186
VISIT DATE: 03/28/2025
NARRATIVE
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Based on evidence obtained during this investigation, the allegation above is Unsubstantiated; meaning that 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.

An exit interview was conducted where this report was discussed and a copy of this report was provided to Neil Clavecillas, Lead Staff at the conclusion of the visit.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2