370808112-12-3-2025-08-AS-YFLS-DP3237-20251204160148

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370808112
Report Date: 12/03/2025
Date Signed: 12/03/2025 02:56:20 PM

Unsubstantiated

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
03/29/2021 and conducted by Evaluator Luisa Fontanilla

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20210329084603

FACILITY NAME:	FANCOR GUEST HOME		FACILITY NUMBER:	370808112
ADMINISTRATOR:	HUERTAS, FANNIE		FACILITY TYPE:	735
ADDRESS:	631-651 TAFT AVENUE		TELEPHONE:	(619) 588-1761
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	44	CENSUS: 43	DATE:	12/03/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Joel Llanes, Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Resident sustained injury while in care due to lack of supervision.
Licensee is not meeting resident's hygiene needs resulting in infestation of head lice.

INVESTIGATION FINDINGS:

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On this day at around 1 pm, Licensing Program Analyst (LPA) Luisa Fontanilla conducted a Teams meeting with Administrator, Joel Llanes to deliver finding for the above allegations. LPA explained to Llanes the purpose of the visit.

During the course of investigation, LPA Adam Hamer conducted the 10-day tele visit on 4/6/2021. On 10/2/2025, this complaint was reassigned to LPA Luisa Fontanilla. On 11/7/2025, LPA contacted the Administrator to request Client 1 (C1) records. On 11/10/2025, LPA received C1’s records. On 11/18/2025, LPA interviewed the Administrator and reviewed the records.
Based on interview conducted, the Administrator denied C1 sustaining injury in the foot from being run over by a wheelchair at the facility. Administrator states the facility does not admit or retain any client who uses a wheelchair or walker. The Administrator added that the facility’s fire clearance is for all ambulatory only so there is no reason for C1 to get run over by a wheelchair while at the facility.
continuation on Lic 9099 C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025

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-20210329084603

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: FANCOR GUEST HOME	FACILITY NUMBER: 370808112
	VISIT DATE: 12/03/2025

NARRATIVE

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Verification made by LPA in FAS indicates that the facility's approved fire clearance is for (44) ambulatory clients only.

In regard to hygiene needs, C1 is independent and does not need assistance with any ADLS. Administrator states C1 had left the facility a few times and did not return after 1-3 days. The Administrator added C1 might have gotten infested by lice while camping out with random homeless people.

Based on record review conducted, C1’s Physician’s Report dated 6/21/2019 indicates that C1 has primary diagnosis of schizoaffective disorder. C1 is ambulatory and independent with all Activities of Daily Living (ADLs). The facility manages C1’s medications and has a Rep payee to manage cash resources.

Based on interview and record review conducted, the above allegations are unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

There is no deficiency noted.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025

LIC9099 (FAS) - (06/04)

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