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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425627
Report Date: 12/18/2023
Date Signed: 12/18/2023 12:58:21 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/11/2023 and conducted by Evaluator Javier Prieto
COMPLAINT CONTROL NUMBER: 56-AS-20231211090615
FACILITY NAME:TWENTY FOURTH STREET ADULT RESIDENCEFACILITY NUMBER:
366425627
ADMINISTRATOR:UMALI, TERESITAFACILITY TYPE:
735
ADDRESS:10260 24TH STREETTELEPHONE:
(909) 910-4633
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:6CENSUS: 4DATE:
12/18/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Neil Consuelo, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Staff mistreat clients in care.
Staff lock clients inside the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding allegations that staff mistreat clients in care and staff lock clients inside the facility. LPA Prieto met with administrator Neil Consuelo and explained the elements of the above allegations.

Regarding the allegation the staff mistreat clients in care; LPA Prieto interviewed resident #1 (R1) and R2. Both did not express that they are mistreated by staff at the facility. LPA interviews with administrator and S1 and S2 did not conclude that residents are being mistreated. There was no witnesses testifying that residents are being mistreated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
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-20231211090615
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: TWENTY FOURTH STREET ADULT RESIDENCE
FACILITY NUMBER: 366425627
VISIT DATE: 12/18/2023
NARRATIVE
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Regarding allegation that staff lock clients inside the facility; Tour of the facility does reveal any sign that the clients are being locked inside the home. The facility is a residence that locks doors at night, but can be open if desired. S1, S2 and administrator Consuelo states that residents are not lock in the facility against their will. Staff does not recall any visitors arriving to the facility as detailed in this complaint. R1 and R2 concluded that they are not locked in the home against their will. During today's inspection LPA observed R1 leave from the facility front door to the rear of the facility to enter a facility van for transport.

Based on the information obtained there is not enough evidence that staff mistreat clients in care and staff lock clients inside the facility. Therefore, the allegations are deemed UNSUBSTANTIATED at this time.

This report was signed by administrator Consuelo and LPA Prieto and a copy of this report was left at the facility.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2