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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603221
Report Date: 11/06/2025
Date Signed: 11/06/2025 04:05:52 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
04/02/2021 and conducted by Evaluator Luisa Fontanilla
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20210402172318
FACILITY NAME:JAVIER'S BOARD AND CAREFACILITY NUMBER:
374603221
ADMINISTRATOR:JAVIER, ARVIR A.FACILITY TYPE:
735
ADDRESS:1919 ALTAMONT PLACETELEPHONE:
(619) 479-2341
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:6CENSUS: 4DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Javier ArvirTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff pulled client's hair.
Client not accorded dignity by staff
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/6/25 at around 3:45 pm, LPA Luisa Fontanilla conducted a Teams meeting with Arvir Javier to deliver finding for the above allegations. LPA explained to Javier the purpose of the visit.
On 4/7/2021, LPA Lizzette Tellez conducted 10-day visit and pre investigation and interviewed staff.
Based on interview conducted with Witness 1 (W1), Client 1 (C1) was on a zoom call with the day program. C1 was observed lying down on the floor watching IPAD with a staff sitting next to C1. W1 states C1 appeared calm when W1 noticed a staff (later identified as Staff 1-S1) pulling C1’s hair towards the back. S1 left and came back with a spray (unsure whether it was water or chemical) spraying liquid on the left side of C1’s face. continuation on Lic 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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-20210402172318
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: JAVIER'S BOARD AND CARE
FACILITY NUMBER: 374603221
VISIT DATE: 11/06/2025
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
continuation from Lic 9099
Upon witnessing the incident, W1 went to notify Witness 2 (W2). When W1 came back, the same staff was observed getting the iPad and was fidgeting with it.

W1 added that the incident happened around lunchtime and day program was playing music on the screen. W1 states it is usually free time, whatever the clients choose to do. Day program staff use a laptop and has the mode where everyone can be seen. C1 has short hair so you could see the staff hand. S1 states C1 did not really have a reaction when sprayed, “just closed eyes and went back to zoom.” W1 added, “was able to see staff's hands close in on the hair because C1 was low to the ground.”

LPA Tellez interviewed the Administrator, Arvir Javier. The Administrator states Staff 1 (S1) was informed about the incident. He states that S1 noticed C1’s face was redder than normal and thought they were overheating. C1 was noticed cross legged with hair down. The Administrator states “usually they are sprayed in the neck.”

Based on interview conducted with S1, S1 states that they tried to hold C1’s hair back to spray on the forehead, but C1 jerked head back and ended up spraying in the face. S1 denied pulling C1’s hair. S1 was worried that C1 was overheating and was trying to cool C1 down. S1 also denied taking C1's IPAD. S1 states C1 has already been on for 2.5 hours, but usually on for 4-5 hours. Based on C1's attention span, C1 will only tolerate being on zoom for 1 to 1.5 hours. C1 would rather be napping. C1's attention is minimal if at all.
The Administrator states police also visited to conduct a welfare check. They came in and looked at C1. C1 didn't respond. They said there was no immediate action needed on their part.

Due to conflicting information obtained from interviews conducted, the above allegations are unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

No deficiency noted. A copy of this report was provided to Javier.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2