370802865-1-28-2026-08-AS-SJAB-DQTQN7-20260130111837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370802865
Report Date: 01/28/2026
Date Signed: 01/28/2026 02:35:58 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/26/2026 and conducted by Evaluator Angelica Boyles

COMPLAINT CONTROL NUMBER: 08-AS-20260126102751

FACILITY NAME:	ORLANDO GUEST HOME		FACILITY NUMBER:	370802865
ADMINISTRATOR:	CYRALYNN MABALOT		FACILITY TYPE:	735
ADDRESS:	297 -299 ORLANDO		TELEPHONE:	(619) 444-9411
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	34	CENSUS: 32	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	12:12 PM
MET WITH:	Fe Martinez - Assistant Administrator		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Unlawful eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Fe Martinez, Assistant Administrator.

On January 26, 2026 the Department received this complaint which alleged Client #1 (C1) was unlawfully evicted. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] The Department’s investigation included a review of record reviews, as well as interviews with staff and outside sources.

(Continued on LIC9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20260126102751

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ORLANDO GUEST HOME	FACILITY NUMBER: 370802865
	VISIT DATE: 01/28/2026

NARRATIVE

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(Continued from LIC9099)

Records reviewed revealed that C1 was hospitalized on 1/20/26 and the reporting party alleged that upon discharge planning, facility staff would not accept C1 back to the facility. An interview with an Outside Source (OS1) who is involved with C1’s coordination of care reported that their agency received a 30 day eviction notice for C1 from the facility dated 11/6/25 with a move out date of 12/6/25. OS1 reported they have been working to find alternative placement for C1 since receiving the notice. However, per records reviewed and interview with facility staff, the proper eviction procedure was not followed in that the written 30 day eviction notice was not sent to the Department within five days of the eviction.

The Department has investigated the allegation of unlawful eviction and based upon the information obtained during this investigation, it is determined that the preponderance of evidence was met to support or corroborate this allegation and therefore deemed substantiated. A deficiency is being cited per Title 22 California Code of Regulations (see attached 9099-D). An exit interview was conducted with Assistant Administrator, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20260126102751

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ORLANDO GUEST HOME	FACILITY NUMBER: 370802865
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/28/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/28/2026 Section Cited CCR 85068.5(e)	1 2 3 4 5 6 7	85068.5 Eviction Procedures (e) A written report of any eviction processed...shall be sent to the licensing agency within five days of the eviction. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Administrator agreed to conduct training/review with staff on eviction procedures and submit proof to LPA by POC due date.
	8 9 10 11 12 13 14	Based on record review and interview with facility staff, licensee did not issue a lawful 30 day notice for 1 out of 32 clients in care (C1) which posed a potential personal rights violation.	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: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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