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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 04:34:49 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
02/28/2024 and conducted by Evaluator Alyssa Ramirez
COMPLAINT CONTROL NUMBER: 08-AS-20240228150124
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:
03:30 AM
MET WITH:House Manager Emma ManaloTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Resident was denied Mental Health treatment by staff
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 resident was denied mental health treatment by staff.
Regarding the allegation, it was reported that facility staff was not allowing the C1 to get mental health services. Interview with C1 revealed that C1 has been attending all medical, psychiatry and dental appointments and facility staff transport to all appointments.
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-20240228150124
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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C1 stated that the services that the report is referring to consisted of assistance with transportation to places (case management) which C1 reported no longer needing. C1 reported that the facility staff have not prevented them from seeing any providers and stated that it was their choice to longer see provider. Interviews with facility staff revealed that no one has prohibited C1 from attending any appointments nor has anyone prohibited anyone from seeing C1. Review of records revealed that C1 attended their last psychiatry appointment on 2/9/2024 and has the next appointment scheduled for 6/7/24. Interview with outside source (OA) revealed that the facility ensures that C1 attends all appointments and had no concern for facility denying C1 of any meetings.

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