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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604711
Report Date: 12/04/2025
Date Signed: 12/04/2025 04:03:33 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
11/25/2025 and conducted by Evaluator Ramon Serrano
COMPLAINT CONTROL NUMBER: 08-AS-20251125085659
FACILITY NAME:AVERYS HOMEFACILITY NUMBER:
374604711
ADMINISTRATOR:GALINDO, AMANDAFACILITY TYPE:
735
ADDRESS:431 G ST.TELEPHONE:
(619) 933-6926
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:4CENSUS: 4DATE:
12/04/2025
UNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Amanda GalindoTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff did not prevent client from hitting another client in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to investigate and deliver findings on the above allegation. LPA met with Licensee Marliss Galindo and we discussed the purpose of the visit and elements of the complaint. Administrator Amanda Galindo arrived later in the day.

On 12/4/2025, LPA arrived at the facility to investigate the above allegation. LPA interviewed Client 1 (C1), Staff 1 (S1), and reviewed information relevant to the incident.

LPA interviewed C1 who stated that approximately two weeks prior to the visit, they were drinking at the facility when Client 2 (C2) arrived around 4–5 p.m. C1 stated that C2 appeared very drunk and began “tripping out.” C1 said that C2 suddenly attacked them and punched them twice in the face.C1 reported that their face was red afterward but they did not seek medical attention because they felt “okay.” C1 stated that after the incident, C2 left the facility and was arrested later that same day for public intoxication. C1 said they currently get along with C2 but believe C2 needs to stop drinking.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
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 08-AS-20251125085659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: AVERYS HOME
FACILITY NUMBER: 374604711
VISIT DATE: 12/04/2025
NARRATIVE
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LPA interviewed S1 at the facility. S1 stated that on the day of the incident, C2 had been drinking away from the facility. When C2 returned, they were extremely intoxicated, stumbling, and falling down. S1 reported that C2 became loud and confrontational with the administrator. S1 stated that C1 attempted to calm C2 by taking them to the patio area. Shortly after, C2 punched C1 in the face twice, causing several bumps on C1’s head. Facility staff called 911 immediately. Law enforcement interviewed both clients. While on scene, C2 assaulted a police officer and was arrested.

Based on interviews and information collected, C2 returned to the facility intoxicated and exhibiting aggressive behavior. Facility staff were aware that C2 was heavily intoxicated and unstable but did not take adequate steps to prevent C2 from having access to other clients. As a result, C2 was able to physically assault C1, causing visible injuries. Although staff eventually contacted 911 and cooperated with law enforcement, the facility did not ensure appropriate supervision or intervention to prevent the assault from occurring. This failure placed clients at risk of harm.

Based upon the foregoing, the above listed allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegation is valid. Deficiency is cited in accordance with California Code of Regulations, Title 22 and are noted on the attached LIC 9099-D.

An exit interview was conducted with Administrator Amanda Galindo and a copy of this report and Licensee/Appeal Rights (LIC9058, 3/22) were provided to Amanda Galindo whose signature below confirms receipt of documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20251125085659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: AVERYS HOME
FACILITY NUMBER: 374604711
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/08/2025
Section Cited
CCR
80078(a)
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80078 (a)The Licensee shall provide care and supervision as necessary to meet the client's need. This requirement was not met as evidenced by:
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Licensee stated that they will submit a written plan outlining how staff will supervise and manage clients who present aggressive behavior to prevent future physical altercations and will review reg 80078 by POC due date.
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Based on interviews facility staff did not prevent C2 from punching C1 in the face, posing an immediate risk to the clients’ personal rights.
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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: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3