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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603419
Report Date: 05/23/2025
Date Signed: 05/23/2025 12:52:41 PM

Substantiated


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
06/21/2024 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240621155741
FACILITY NAME:CASA DEL SOL RTFFACILITY NUMBER:
374603419
ADMINISTRATOR:MANUEL VASQUEZFACILITY TYPE:
735
ADDRESS:1561 E MISSION RDTELEPHONE:
(442) 444-8156
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:4CENSUS: 2DATE:
05/23/2025
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Manuel Vasquez, Licensee/AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility not following required ratio.
INVESTIGATION FINDINGS:
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On 05/23/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegation noted above. LPA met with Licensee Manuel Vasquez and explained the purpose of the visit and the elements of the allegation. The allegation was investigated, which consisted of observations, interviews and records review. On 06/21/24 Community Care Licensing received a complaint alleging the facility is not following required ratio.

Per the facility’s program design, on page 9 under Description of Services states the following: “Clients Day by day environmental interactions are required to have consistent supervision/assistance (2:1 staff status) to monitor the client on community outings and/or when at home…” At the time that this complaint was received the facility had a total of three (3) clients in care. Per staff schedule dated for the week of 6/17/24 to 6/23/24 revealed for there to be 1 staff working in the morning shift 6:00am-8:30am, with a second staff coming in from 8am-8pm, Monday-Wednesday. Thursday reveals that Licensee Vasquez was scheduled to work 6am-10:00pm, as well as on Friday reveals the Licensee Vasquez was scheduled to work 6:00am-10:00pm.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2025
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 5
Control Number 18-AS-20240621155741
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: CASA DEL SOL RTF
FACILITY NUMBER: 374603419
VISIT DATE: 05/23/2025
NARRATIVE
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Vasquez was with a second staff coming in to work from 5pm-10pm. For both Saturday and Sunday reveals that there was one staff scheduled for both the morning and afternoon/evening shift. Per an interview with Licensee Vasquez the ratio was never 1:1 for the home, as the placing agency does not pay for the additional 1:1 staffing. Per Title 22 regulation 85065.5 states that Regional Center clients, staffing shall be maintained as specified by the Regional Center but no less than one direct care staff to three such clients.

Based on observation, interview and records review of the facility's program design stating the ratio is 2:1. the allegation of facility is not following required ratio is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted and a copy of this report 9099D, appeal rights, LIC811-confidential names list, were reviewed and provided to Manuel Vasquez, Licensee.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 18-AS-20240621155741
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: CASA DEL SOL RTF
FACILITY NUMBER: 374603419
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/24/2025
Section Cited
CCR
85065.5
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85065.5 Day Staff-Client Ratio (a) Whenever a client who relies upon others to perform all activities of daily living is present, the following minimum staffing requirements shall be met: (1) For Regional Center clients, staffing shall be maintained as specified by the Regional Center but no less than one
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The licensee agreed to revise the program plan to reflect both staffing and client needs an addendum would be submitted to reflect the ratio to be 3:1 at the facility. The addendum was submitted on 03/03/25. Therefore no POC due at this time.
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direct care staff to three such clients. This requirement is not met as evidenced by: the licensee not having at minimum of two staff to care for the (3) clients in care. This posed a potential health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5