<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425627
Report Date: 04/16/2026
Date Signed: 04/16/2026 04:19:19 PM

Substantiated


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
04/10/2026 and conducted by Evaluator Eldin Serrano
COMPLAINT CONTROL NUMBER: 56-AS-20260410161243
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:
04/16/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Neil Consuelo, AdministratorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful Eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/16/2026, Licensing Program Analysts (LPA) Eldin Serrano visited the facility to investigate the above-mentioned allegation and deliver findings. LPA met with Administrator Neil Consuelo to discuss the purpose of the visit. The investigation consisted of interviewing relevant parties, and file review.

Regarding the allegation of “Unlawful eviction” it was reported that Client #1 (C1) was issued a thirty (30) day eviction notice on 4/6/2026. During the course of the investigation, an interview conducted with Administrator revealed that a thirty (30) day eviction notice was provided to C1’s family and placement agency on 4/6/2026. The licensee did not provide the eviction notification to this Department regarding C1’s eviction within the required timeframe. Additionally, the licensee confirmed during interview that the Department was not notified of the eviction.

Based on record review and interviews conducted, the licensee failed to notify the Department within five (5) days of issuing the eviction notice, as required. Therefore, the allegation is SUBSTANTIATED.

An exit interview was conducted, where this report, LIC9099, LIC9099D along with appeal rights, were provided to the administrator Neil Consuelo.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026
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 3
Control Number 56-AS-20260410161243
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: TWENTY FOURTH STREET ADULT RESIDENCE
FACILITY NUMBER: 366425627
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/17/2026
Section Cited
CCR
85068.5(a)(e)
1
2
3
4
5
6
7
Title 22, Section 85068.5(a)(e), Eviction Procedures, (a)The licensee shall be permitted to evict a client by serving the client with a 30-day written notice to quit for any of the following reasons: (e) A written report of any eviction processed in accordance with (a) above shall be sent to the licensing agency within five days of the eviction. This is not met as evidence by:
1
2
3
4
5
6
7
Licensee/Administrator agrees to submit a statement of understanding that the licensee fully read and understand and to follow the regulation cited above and a copy of the eviction letter sent to the family and the agency by plan of correction (POC) due date.
8
9
10
11
12
13
14
Based on interviews and file reviews, the licensee did not comply with the section cited above by not ensuring a written report of any eviction processed in accordance with the regulation stated above shall be sent to the licensing agency within five days of the eviction which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
04/10/2026 and conducted by Evaluator Eldin Serrano
COMPLAINT CONTROL NUMBER: 56-AS-20260410161243

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:
04/16/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Neil Consuelo, AdministratorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not ensuring resident's medical care needs are met
Staff is asking for more P&I money from the family
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/16/2026 at 2:00 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA met with administrator Neil Consuelo to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation.

Allegation: Staff are not ensuring resident's medical care needs are met – Based on interview with relevant parties, it was reported that the neurologist appointment for Client #1 (C1) was made by the administrator. LPA was unable to corroborate the allegation.

Allegation: Staff is asking for more P&I money from the family – LPA audited the personal and incidental account of C1 and everything is accounted for. No issues observed.

Based on the interviews and file reviews, the allegations mentioned above are 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 administrator Neil Consuelo.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3