374602441-7-17-2026-08-AS-SJAB-DW3U3B-20260717151315

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602441
Report Date: 07/17/2026
Date Signed: 07/17/2026 12:07:58 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
07/22/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20240722075634

FACILITY NAME:	SAM & ROSE STEIN EDUCATION CENTER		FACILITY NUMBER:	374602441
ADMINISTRATOR:	PONCE, SERGIO		FACILITY TYPE:	775
ADDRESS:	4990 WILLIAMS AVE		TELEPHONE:	(619) 463-3300
CITY:	LA MESA	STATE: CA	ZIP CODE:	91941
CAPACITY:	45	CENSUS: 33	DATE:	07/17/2026
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Oscar Vargas, Administrator		TIME COMPLETED:	12:06 PM

ALLEGATION(S):

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Neglect/Lack of Supervision resulting in injury

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Oscar Vargas, Program Supervisor.

LPA Lopez previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on July 09, 2024 and conducted a tour of the facility.

It was alleged that neglect/lack of supervision resulting in injury. Interviews revealed that the client in question no longer attends the facility. Interviews also revealed that the client in question could not be interviewed due to no location was provided to LPA to contact the client. Interviews with staff revealed that the clients last day was on 7/23/24. Interviews revealed that the supervisor was informed by their staff that the client had a bruise on their arm but when they took a look at the bruise it was an older bruise like a purplish greenish color for example when a bruise is already at the end of the healing process.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

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-20240722075634

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: SAM & ROSE STEIN EDUCATION CENTER	FACILITY NUMBER: 374602441
	VISIT DATE: 07/17/2026

NARRATIVE

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Interviews revealed that the facility staff did write up an external form. Interviews revealed that they questioned the client on how they received the bruise and they did not say anything about how they got it.

Interviews revealed that this client would make up stories especially if they wanted to get their way. According to the client’s Individual Program Plan (IPP)dated 03/17/2023 it stated that the client is often involved in repeating untrue stories to get out of trouble or to get something they want. According to the IPP the untrue stories have been described as habitual lying and occur both at the home and the day program.

Interviews also revealed that the client had formerly mentioned to them that there was another client they lived with who attempted to hit them but is unsure if they have ever had physical altercations with each other. Interviews revealed the name of the house mate is unknown.

The Department has investigated the above-mentioned allegation and based on interviews, LPA observations, and records review, it was determined that the complaint allegation is Unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Oscar Vargas, Program Supervisor via face time and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided via email. An electronic email read receipt confirms the documents were received.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

LIC9099 (FAS) - (06/04)

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