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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604751
Report Date: 03/18/2025
Date Signed: 06/10/2025 01:30:52 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
03/11/2025 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20250311082655
FACILITY NAME:NANCY VASQUEZ RESIDENTIAL CARE CENTERFACILITY NUMBER:
374604751
ADMINISTRATOR:CURTIS, PHILIP C.FACILITY TYPE:
735
ADDRESS:8627 TROY STREETTELEPHONE:
(619) 754-5250
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:40CENSUS: 37DATE:
03/18/2025
UNANNOUNCEDTIME BEGAN:
12:39 PM
MET WITH:Nick Fierro, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Staff called client a derogatory name
Staff uses a loud and forceful tone with clients
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to open the complaint investigation on the above listed allegations. LPA introduced herself, was granted entry, and met with Nick Fierro, Administrator, to whom she disclosed the reason for the visit.

LPA conducted interviews, made observations, and obtained and reviewed pertinent records. It was alleged that the staff called client a derogatory name. Interviews revealed that on 3/2/2025 while dispensing medications Staff 1(S1) called Client 1 (C1) a derogatory name. Interviews revealed that on 3/6/25, S2 stated that they and S1 spoke about this event on 3/2/25 during shift change, and S1 admitted to S2 that they did call C1 a derogatory name. Interviews revealed on 3/7/25, the administrator was notified about this as they were not aware of it. LPA observed documentation that revealed S1 was spoken to regarding the incident and was written up for violating their Standards of Conduct. The write up stated that S1 was unable to conduct themselves in a professional manner when a client was verbally pressuring them during medication time.

**This is an amended report from 3/18/2025**
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
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 4
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
03/11/2025 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20250311082655

FACILITY NAME:NANCY VASQUEZ RESIDENTIAL CARE CENTERFACILITY NUMBER:
374604751
ADMINISTRATOR:CURTIS, PHILIP C.FACILITY TYPE:
735
ADDRESS:8627 TROY STREETTELEPHONE:
(619) 754-5250
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:40CENSUS: DATE:
03/18/2025
UNANNOUNCEDTIME BEGAN:
12:39 PM
MET WITH:Nick Fierro, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff threw medication at client
INVESTIGATION FINDINGS:
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3
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5
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9
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12
13
Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to open the complaint investigation on the above listed allegation. LPA introduced herself, was granted entry, and met with Nick Fierro, Administrator, to whom she disclosed the reason for the visit.

LPA conducted interviews, made observations, and obtained and reviewed pertinent records. It was alleged that the staff threw medication at the client. Interviews revealed Client 1 (C1) asked Staff 1 (S1) for their medication. Interviews revealed, S1 was upset and admitted to setting the medications down more forcefully than they usually do. Interviews revealed there were no witnesses to this. Interviews with an outside source stated that S1 stated to them that they forcefully placed the medication down, but did not throw them.

Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Nick Fierro, Administrator and a copy of this report and Licensee Rights (LIC9058 03/22) were provided at the conclusion of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 08-AS-20250311082655
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: NANCY VASQUEZ RESIDENTIAL CARE CENTER
FACILITY NUMBER: 374604751
VISIT DATE: 03/18/2025
NARRATIVE
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It was alleged that staff uses a loud and forceful tone with clients. Interviews revealed that S1 yells and swears around the clients and other staff members. Interviews also revealed that when S1 asks clients to complete tasks, they use a loud and forceful tone that could be interpreted as yelling. Interviews revealed that S1 is usually overly assertive with the clients. Interviews revealed that the write up also mentioned that S1 must refrain from using any abusive or disrespectful language towards clients.

Interviews revealed that S1 no longer works at the facility.

Based upon the foregoing, the above listed allegations are substantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Nick Fierro, Administrator and a copy of this report and Licensee Rights (LIC9058 03/22) were provided at the conclusion of the visit.


**This is an amended report from 3/18/2025**
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20250311082655
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: NANCY VASQUEZ RESIDENTIAL CARE CENTER
FACILITY NUMBER: 374604751
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/11/2025
Section Cited
CCR
80072(a)(1)
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(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requiurement is not met as evidenced by:
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Administrator will have staff 1 (S1) retrained on De-escalation techniques and will send a copy of the sign in sheet and training documents to CCL. POC due by 04/11/2025
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Interviews and observations revealed that S1 did not ensure that 1 of 37 clients (C1) were accorded dignity in his/her personal relationships with staff.
This posed a potential personal rights violation to clients in care.
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Type B
04/11/2025
Section Cited
CCR
80072(a)(3)
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(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requiurement is not met as evidenced by:
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Administrator will have staff retrained on Personal Rights and will send a copy of the sign in sheet and training documents to CCL. POC due by 04/11/2025
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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: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4