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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374601190
Report Date: 06/17/2024
Date Signed: 06/17/2024 12:44:29 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
06/13/2024 and conducted by Evaluator Sara Martinez
COMPLAINT CONTROL NUMBER: 18-AS-20240613110512
FACILITY NAME:REAL GUEST HOME OF NORTH COUNTYFACILITY NUMBER:
374601190
ADMINISTRATOR:AIMEE CABILINGFACILITY TYPE:
735
ADDRESS:1225 E. PENNSYLVANIA AVENUETELEPHONE:
(760) 291-1349
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:49CENSUS: 17DATE:
06/17/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:AIMEE CABILING - ADMINISTRATORTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not ensuring the personal rights of residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to initiate a complaint investigation regarding the allegation listed above. LPA was granted entry and met with Administrator Aimee Cabiling who was informed of the purpose for the visit. During this investigation, LPA conducted a tour of the facility, interviews with staff and clients, and obtained supportive documentation for review to assist with determining the findings for the allegation listed above.

Regarding the allegation “Facility is not ensuring the personal rights of residents” it was reported Resident One (R1) was being verbally threatened by Resident Two (R2) and R1 does not feel safe living in the facility. Interview and records review of R1 revealed to be an unreliable historian due to diagnosis of a condition that causes delusional behavior. R2 reported they stay away from R1 and they do not communicate with each other. R2 reported they have never gotten into a physical altercation with R1 and has not made any threatening remarks to R1 or any other residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Sara Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2024
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 18-AS-20240613110512
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: REAL GUEST HOME OF NORTH COUNTY
FACILITY NUMBER: 374601190
VISIT DATE: 06/17/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Interview with Resident Three (R3) reported they have not witnessed any verbal or physical altercations between R1 and R3. Interview with Administrator Aimee Cabiling revealed R1’s room was relocated to a different room further away from R2 to minimize interaction and conflict between R1 and R2. Interview with four (4) out four (4) residents reported to not have witnessed any verbal or physical altercations between R1 and R2. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report and LIC 811 - Confidential Names, was provided to Administrator Cabiling.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Sara Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2