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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602726
Report Date: 12/17/2025
Date Signed: 12/18/2025 02:03:13 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
02/22/2024 and conducted by Evaluator Amy Domingo
COMPLAINT CONTROL NUMBER: 08-AS-20240222163438
FACILITY NAME:TANGEM HOME ARFFACILITY NUMBER:
374602726
ADMINISTRATOR:STANLEY ALEGREFACILITY TYPE:
735
ADDRESS:656 PARAISO AVENUETELEPHONE:
(619) 589-9037
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: 6DATE:
12/17/2025
UNANNOUNCEDTIME BEGAN:
03:47 PM
MET WITH:Stanley Alegre AdministratorTIME COMPLETED:
04:48 PM
ALLEGATION(S):
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Staff hit resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver the findings in the above-mentioned complaint allegations. LPA Domingo identified herself and discussed the purpose of the visit with Administrator Gemma and Stanley Alegre.

During the investigation, LPA Domingo collected pertinent resident records as well as facility documentation and conducted interviews with staff, residents, and outside sources.

On February 22, 2024, the department received a complaint alleging that a staff member hit a client. Staff interview revealed that no staff had witnessed or were aware of any physical altercation involving a resident and staff. Staff did state that during breakfast. S2 did not observe any staff member hit any residents. S2 stated that a staff member was helped a resident from sliding from the wheelchair, and the staff member's chin hit the top of the resident's head.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025
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 2
Control Number 08-AS-20240222163438
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: TANGEM HOME ARF
FACILITY NUMBER: 374602726
VISIT DATE: 12/17/2025
NARRATIVE
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S2 stated that the resident did not complain of any pain and the resident continued to the restroom to brush his teeth and wash up after breakfast.

Clients interview revealed that they feel safe in the facility and had not observed or experienced any physical mistreatment by staff.

OS1 reported that the facility provided good care to the residents and responded quickly with any questions or concerns that OS1 had.

LPA observations revealed no signs of resident distress or visible injury to any residents. Staff were observed interacting respectfully and appropriately with residents. The environment appeared calm, and residents were engaged in routine activities.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Stanley and Gemma Alegre, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided by mail.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2