370808112-8-4-2025-08-AS-APAO-DL26VA-20250829210824

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370808112
Report Date: 08/04/2025
Date Signed: 08/04/2025 01:04:15 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
06/30/2025 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20250630121431

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: 41	DATE:	08/04/2025
		UNANNOUNCED	TIME BEGAN:	12:46 PM
MET WITH:	Joel Llanes, Administrator		TIME COMPLETED:	01:05 PM

ALLEGATION(S):

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Staff did not prevent resident from physically abusing another resident resulting in injuries
Staf did not prevent resident from threatening another resident
Staff are not providing a safe environment for resident
Staff did not prevent resident from wandering from facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings. The Administrator allowed LPA entry. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Administrator.

Licensing Program Analyst (LPA) conducted an investigation into the above allegations, which included interviews with staff and residents, review of facility records, and observations of the facility environment.

On June 30, 2025, the Department received several allegations: the allegation that staff did not prevent a resident from physically abusing another resident, resulting in injuries. LPA reviewed the incident report. No injuries were reported or documented. Interviews revealed a verbal altercation, but there was no evidence of physical contact or injury. Staff intervened promptly. After the incident that occurred on June 27, 2025, resident 1 (R1) was moved to another room on June 28, 2025. R1 confirmed that R3 did not physically touch them.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2025

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-20250630121431

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: 08/04/2025

NARRATIVE

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Regarding the allegation that staff did not prevent a resident from threatening another resident, interviews with involved parties and witnesses confirmed a verbal disagreement occurred, but there was no evidence to support that staff failed to act. Staff redirected both residents appropriately. R3 has been aggressive towards staff, residents, professional staff, and LPA. R3 tends to leave the facility early morning and will not take medication timely. The Administrator has attempted to schedule an appointment with the psychiatrist, but the psychiatrist will no longer see R3 because of the verbal and aggressive behaviors. The administrator had scheduled another appointment with a new psychiatrist, but R3 did not show up for the appointment. R3 has been given a 30-day eviction notice for non-compliance of the rules of the facility.

For the allegation that staff are not providing a safe environment, LPA conducted a facility tour and observed that the environment was clean, orderly, and free from safety hazards. Staff were present and monitoring residents appropriately. Residents interviewed stated they felt safe in the facility. The facility is not a locked facility, and residents are free to come and go from the facility with proper notification of informing staff.

Regarding the allegation that staff did not prevent a resident from wandering, review of staff notes and interviews confirmed that a resident did briefly leave the facility grounds but remained within the designated perimeter and returned. Staff were aware of the resident’s movements and redirected the resident back to the facility.

Based on the information obtained through interviews, documentation review, and observations, there is not enough evidence to support that the alleged violations occurred as reported. Therefore, all allegations are determined to be: Unsubstantiated – Meaning that although the allegations may have occurred or are valid, there is not a preponderance of evidence to prove the alleged violation occurred.

An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator, and his signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2025

LIC9099 (FAS) - (06/04)

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