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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530188
Report Date: 09/15/2025
Date Signed: 09/15/2025 10:43:01 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
09/10/2025 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20250910194520
FACILITY NAME:ESPERANZA'S PLACE IIFACILITY NUMBER:
365530188
ADMINISTRATOR:AGUILAR, DANETTEFACILITY TYPE:
735
ADDRESS:919 W LOCUSTTELEPHONE:
(714) 483-8057
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:4CENSUS: 4DATE:
09/15/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Staff Miranda PerezTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Staff did not keep the facility free from infestation
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 Miranda Perez and explained the purpose of the visit. The investigation consisted of facility tour and staff interview.

For the allegation, Staff did not keep the facility free from infestation.

LPA spoke with Staff #1 (S1) who stated facility has never had any issues with bed bugs and facility staff keeps facility free from infestation. LPA observed all client's beds to be free from bed bugs. Additionally, S1 stated clients bedsheets are washed weekly or every three days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
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-20250910194520
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: ESPERANZA'S PLACE II
FACILITY NUMBER: 365530188
VISIT DATE: 09/15/2025
NARRATIVE
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Based on the evidence gathered during today’s investigation, the allegation 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.

An exit interview was conducted and this report (LIC9099) along with other reports were discussed and provided to Staff Miranda Perez.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2