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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530011
Report Date: 05/11/2026
Date Signed: 05/11/2026 11:14:56 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
03/18/2026 and conducted by Evaluator Beena Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260318193356
FACILITY NAME:BLU SKYYZ RESIDENTIAL CAREFACILITY NUMBER:
365530011
ADMINISTRATOR:LA TANYA HUGHESFACILITY TYPE:
735
ADDRESS:16251 NIGHT STAR CTTELEPHONE:
(800) 680-1484
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY:6CENSUS: 1DATE:
05/11/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Staff Barbara Gutierrez TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff does not provide residents a comfortable temperature.
INVESTIGATION FINDINGS:
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On 05/11/2026, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver the findings of the above allegation. LPA Singh was greeted and granted entrance by a staff Barbara Guiterrez. LPA Singh identified and discussed the purpose of the visit and the elements of the allegation with staff Barbara Gutierrez.

The investigation was conducted by LPA Beena Singh. The investigation consisted of observation and interviews with relevant parties. The allegation indicates that Staff does not provide residents a comfortable temperature.

During the investigation, LPA Singh did not find evidence to corroborate the allegation. Interviews with Client #1 (C1) indicated Staff at the facility are providing Client#1 a comfortable temperature. Interviews with two (2) of two (2) staffs, IRC Case worker and Client#1, indicated that Facility Staff are providing comfortable temperature to C1 at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026
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-20260318193356
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: BLU SKYYZ RESIDENTIAL CARE
FACILITY NUMBER: 365530011
VISIT DATE: 05/11/2026
NARRATIVE
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During the facility visit on 03/19/2026 and 05/11/2026, Licensing Program Analyst (LPA) Singh observed the interior temperature to be at a comfortable 75 degrees Fahrenheit. This observation was corroborated by Client#1(C1), who explicitly stated they were comfortable with the temperature at the facility. Further investigation on April 29, 2026, involved a consultation with the Inland Regional Center (IRC) Caseworker, who confirmed that C1 had expressed no concerns regarding the facility's temperature during their own interactions. Additionally, the IRC Caseworker reported that the temperature remained comfortable during their personal site visits, aligning with LPA Singh’s findings that the facility maintains an appropriate environment for its clients.

Based on the evidence, the allegation that staff verbally abusing clients in care is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099 was discussed and provided to Staff Barbara Gutierrez.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2