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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603510
Report Date: 06/04/2024
Date Signed: 06/04/2024 04:34:01 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
05/02/2024 and conducted by Evaluator Alyssa Ramirez
COMPLAINT CONTROL NUMBER: 08-AS-20240502172859
FACILITY NAME:AQUINO'S QUALITY HOMECARE NO. 2FACILITY NUMBER:
374603510
ADMINISTRATOR:BERNARDO AQUINOFACILITY TYPE:
735
ADDRESS:1839 ITHACA STREETTELEPHONE:
(619) 272-4223
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:6CENSUS: DATE:
06/04/2024
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:House Manager Emma ManaloTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff did not treat client with respect
Staff retaliated against client
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with House Manager Emma Manalo and discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency.

It was reported to CCL that staff did not treat client with respect and staff retaliated against client.

Regarding the allegation, staff did not treat client with respect and staff retaliated against client, it was reported that staff are aggressive towards C1, C1 is subject to racial attacks by staff and C1 feels as though they are being retaliated against for making reports.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
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-20240502172859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: AQUINO'S QUALITY HOMECARE NO. 2
FACILITY NUMBER: 374603510
VISIT DATE: 06/04/2024
NARRATIVE
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 Interview with C1 revealed that staff are “good”. C1 reported that no one is mean to them at the facility and denied that staff have ever been aggressive or have made negative comments about their appearance. Interviews with facility staff revealed that staff deny ever witnessing any incidents where clients are not treated with respect and deny witnessing any retaliating towards clients. Interview with outside source (OA) revealed that OA has no concern for the facility or facility staff.
Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. No deficiencies were cited today.

An exit interview was conducted with Manalo A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Manalo whose signature below verifies receipt of these rights.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2