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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374601332
Report Date: 08/04/2025
Date Signed: 08/04/2025 03:47:18 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
07/28/2025 and conducted by Evaluator Ramon Serrano
COMPLAINT CONTROL NUMBER: 08-AS-20250728115757
FACILITY NAME:ROYAL GARDEN GUEST HOMEFACILITY NUMBER:
374601332
ADMINISTRATOR:RODOLFO TABLADILLOFACILITY TYPE:
740
ADDRESS:39 G STREETTELEPHONE:
(619) 420-0830
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:6CENSUS: 3DATE:
08/04/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Edna TabladilloTIME COMPLETED:
03:16 PM
ALLEGATION(S):
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Staff did not safeguard residents personal belongings
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit and delivered findings on the above allegation. LPA met with Licensee Edna Tabladillo and we discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA observation, records review, interviews with staff, residents and outside sources.

It was alleged that the facility staff did not safeguard Resident 1 (R1) personal belongings. It was reported that a staff member was stealing items from R1 including; clothing, jewelry, toiletries and dentures. LPA interviewed R1 who stated that they have lived at the facility for over two years and they are trying to move to a different board and care. R1 stated that several of their personal belongings including; pants, perfumes, lotions, dentures and jewelry have gone missing. R1 stated that the jewelry was "super cheap" and one size fits all. R1 stated that their dentures were recently located after they thoroughly cleaned their room.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
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)
Page: 1 of 3
Control Number 08-AS-20250728115757
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: ROYAL GARDEN GUEST HOME
FACILITY NUMBER: 374601332
VISIT DATE: 08/04/2025
NARRATIVE
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LPA interviewed Resident 2 (R2) who stated that R2 has lived at the facility for over two years. R2 stated that the staff are "above average." R2 stated that the facility staff treat them with respect and dignity. R2 stated that they have never witnessed staff treat another resident disrespectfully. R2 stated that they have no knowledge of staff stealing another resident's belongings. R2 stated that in the past R2 has misplaced items that were later found. R2 stated that they have never had an incident where R2's items were deliberately stolen.

LPA interviewed Staff 1 at the facility. S1 stated that they have no knowledge of any staff members stealing residents personal belongings. S1 further stated that they have never been informed by any resident that their personal items were stolen.

LPA interviewed Outside Source (OS) who stated that they have worked directly with R1 for several months. OS stated that they are familiar with the allegation since R1 has advised them many times via voicemail. OS stated that often times these items "show up later" OS stated that when they have "pressed" R1 for more information regarding their missing items and the allegation, they do not get any details from R1. OS stated that R1's missing dentures were relocated recently after the facility staff cleared out and organized R1's bedroom for treating and pest control. OS stated that the facility is a "good place for R1 to be." OS stated that due to R1's condition and intolerance of stress, R1 tends to report things in the moment.

LPA interviewed Licensee who stated that R1 has a history of hoarding items in their room and not allowing staff to touch any of it claiming that is their personal right. R1 was recently advised that all of their personal items would be placed in bags and stored outside in the heat while R1's room was being treated for pests. Licensee stated that R1 became upset and immediately asked for items. Licensee advised R1 that they would be receiving all of their belongings back once they were treated for pests. Licensee stated that this was done to avoid reintroducing pests back into the room through R1's personal belongings.

Records review revealed R1 has a diagnosis of schizophrenia, bipolar and traumatic brain injury. It should be noted that R1 was interviewed by the Department on March 20, 2025 regarding a complaint allegation. R1 stated that R1 has auditory hallucinations. R1 stated that R1 had hallucinations "for a long time now."
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
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)
Page: 2 of 3
Control Number 08-AS-20250728115757
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: ROYAL GARDEN GUEST HOME
FACILITY NUMBER: 374601332
VISIT DATE: 08/04/2025
NARRATIVE
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The investigation did not reveal any corroborating evidence that staff did not safeguard R1's personal belongings or that staff stole R1's personal belongings.

Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met.

An exit interview was conducted with Edna Tabladillo. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Edna Tabladillo whose signature below verifies receipt of both.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
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)
Page: 3 of 3