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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604100
Report Date: 06/20/2025
Date Signed: 06/20/2025 01:30:54 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
03/30/2022 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220330124618
FACILITY NAME:CASA DEL SOL RTF IIFACILITY NUMBER:
374604100
ADMINISTRATOR:VASQUEZ, MANUELFACILITY TYPE:
735
ADDRESS:1141 JULIETTE PLTELEPHONE:
(619) 405-7750
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:4CENSUS: 0DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Manuel Vazquez, Licensee/Administrator TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff member hit client.
Staff failed to treat client with dignity and respect.
INVESTIGATION FINDINGS:
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On 06/20/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegation listed above. LPA met with Licensee Manuel Vazquez and explained the purpose of the visit, and the elements of the allegations. The investigation consisted of observations, interviews, and record review. The department received a complaint on 03/28/2022, alleging a staff member hit a client. A video surfaced on 03/28/2022, displaying an act of physical abuse to Client 1 (C1). It is unknown the date the video was taken.

Regarding the allegation of Staff member hit resident.The video takes place in the backyard on the deck/patio. The video depicts three (3) individuals involved, 1 client and 2 staff. The (2) staff and C1 are seen standing in the middle of a wooden deck. There is a third staff standing out of the sight of the camera. Staff 1 (S1) is standing to the right of C1. S1 is holding a plastic cup filled with water and proceeds to throw the water in C1’s face, who is standing in middle of the screen. Staff 2 (S2) who is seen standing behind and to the left of C1, is observed wearing a black boxing glove on their right hand. S2 then hits C1 to the right side
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
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 3
Control Number 18-AS-20220330124618
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 II
FACILITY NUMBER: 374604100
VISIT DATE: 06/20/2025
NARRATIVE
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of their face. C1 is then observed to fall sideways to the ground following the force of the hit to the face. S2 is observed laughing after hitting C1 in the face.

The licensee was shown the video on 03/30/22, and the licensee identified the three staff involved in the video as well as the client. The licensee identified the third staff as Staff 3 (S3) who is filming the incident. The video was edited to be shown in slow motion. On 04/04/2022, S2 was arrested and charged with PC 368-Dependent Adult Abuse and PC 245 (a)(4) - Assault by Means Likely to Produce Great Bodily Injury. S2 and S3 plead guilty to felony counts of PC 368. S1 plead guilty to a felony count of 368(b)(1).

Based on review of the video, interviews conducted and records review, the preponderance of evidence standard has been met. Therefore, the allegations of staff hitting client and failing to treat client with dignity and respect is found to be SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations (Title 22, Division 6 & Chapter 3) are being cited on the attached LIC 9099D).

An exit interview was conducted and a copy of this report, 9099D, appeal rights, and LIC811-confidential names list were reviewed and provided to Licensee/Administrator Manuel Vasquez.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20220330124618
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 II
FACILITY NUMBER: 374604100
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/20/2025
Section Cited
CCR
80065(1)
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80065(l) Personnel Requirements
Personnel shall provide for the care and safety of persons without physical or verbal abuse, exploitation or prejudice.
This requirement is not met as evidenced by review of video which revealed C1 being punched in the face by S2. This
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There is no POC due at this time due to S1, S2 and S3 being immeidately terminated on 03/30/22. In addition a personal rights, reporting issues and mandated reporting inservice was completed on 01/03/24.
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posed an immediate health, safety and personal rights risk to C1.
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Type A
06/20/2025
Section Cited
CCR
80072(a)(1)
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80072 (a) (1) Personal Rights Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced
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There is no POC due at this time due to S1, S2 and S3 being immedialely terminated on 03/30/22. In addition a personal rights, reporting issues and mandated reporting inservice was completed on 01/03/24.
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by review of video which revealed S1 throwing water in C1’s face, S3 filming the incident, the video being edited to be shown in slow motion and staff laughing. This posed an immediate health, safety and personal rights risk to C1.
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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: 06/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3