374604213-4-2-2026-18-AS-RORN-DSXMXN-20260408100012

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604213
Report Date: 04/02/2026
Date Signed: 04/02/2026 04:02:34 PM

Unsubstantiated

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
12/26/2023 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20231226093547

FACILITY NAME:	SACRED HEART HOME CARE		FACILITY NUMBER:	374604213
ADMINISTRATOR:	DOMINGO P IMSON JR		FACILITY TYPE:	735
ADDRESS:	829 BEGONIA STREET		TELEPHONE:	(760) 975-3849
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	4	CENSUS: 4	DATE:	04/02/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Emma Imson		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Licensee not providing a safe environment for clients in care

INVESTIGATION FINDINGS:

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On April 2, 2026, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegation and to deliver findings. The Department was met by Emma Imson and the purpose of the visit was explained.

Investigation consisted of the following:
On January 4, 2023, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above. During the visit, it was determined that the complaint required further investigation.
On April 1, 2026, the Department obtained via email incident report (dated: 12/14/23) and copy of 30-day eviction notice and On April 2, 2026 the Department obtained copy of C1's Admission Agreement (dated 8/24/23). The department interviewed Administrator (A1), 1 staff (S1), 2 clients (C2-C3), and Witness 1 (W1) via telephone.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20231226093547

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: SACRED HEART HOME CARE	FACILITY NUMBER: 374604213
	VISIT DATE: 04/02/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Licensee not providing a safe environment for clients in care

The detail of the complaint alleges on 12/13/23 C1 was in an altercation with C2, who allegedly threw a butter knife at C1 and allegedly no staff were in the room when incident occurred.

On April 2, 2026, at 2:41 p.m., the Department interviewed Administrator (A1), who denied the allegation. A1 stated that the facility provides a safe environment for clients in care and consistently follows all safety standards. A1 further explained that, during this incident, staff responded appropriately and took the necessary steps to ensure client safety.

On April 2, 2026, between 2:00pm and 3:00pm, the Department interviewed 1 [available] staff (S1) regarding the allegation who denied allegation, stating that all the sharp knives are locked away. S1 further stated that during the incident her and another staff made sure clients were safe by telling them to go to their rooms during the altercation.

On April 2, 2026, between 1:30pm and 2:00pm, the Department interviewed 2 clients (C2-C3) regarding the allegation [C1 no longer lives at the facility]. Of those interviewed, 2 out of 2 clients state that they feel safe at the facility and staff are around to help them when they need it.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20231226093547

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: SACRED HEART HOME CARE	FACILITY NUMBER: 374604213
	VISIT DATE: 04/02/2026

NARRATIVE

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On April 2, 2026, the Department reviewed and evaluated the following documents: incident report (dated: 12/14/23) and copy of 30-day eviction notice (dated: 12/14/23). The Incident Report and eviction notice contained statements that conflicted with the information provided in the complaint. The complaint alleged that C2 threw a butter knife at C1; however, both the official Incident Report and the 30-day eviction notice indicated that C1 was the aggressor and C2 was the victim. According to the records, C1 was arrested on 12/13/23. After reviewing the documents and conducting interviews, it was determined that staff responded appropriately by directing other clients away from the area of the altercation to ensure their safety. Additionally, the facility reported the incident in compliance with reporting requirements.

On April 2, 2026 via telephone, the Department spoke with the placement agency Service Coordinator (W1) who confirmed the events surrounding the incident as mentioned above.

On April 2, 2026, the Department toured the facility and observed it to be clean, safe and sanitary. All sharps/knives where locked away in area under kitchen sink.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with Licensee Emma Imson. There were no deficiencies citing during today’s visit. Copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

LIC9099 (FAS) - (06/04)

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