374604751-3-26-2026-08-AS-SJAB-DSQPXK-20260401114228

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604751
Report Date: 03/26/2026
Date Signed: 03/26/2026 03:15:05 PM

Unsubstantiated

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
12/12/2025 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20251212112008

FACILITY NAME:	NANCY VASQUEZ RESIDENTIAL CARE CENTER		FACILITY NUMBER:	374604751
ADMINISTRATOR:	CURTIS, PHILIP C.		FACILITY TYPE:	735
ADDRESS:	8627 TROY STREET		TELEPHONE:	(619) 754-5250
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	42	CENSUS: 41	DATE:	03/26/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Nick Fierro, Administrator		TIME COMPLETED:	02:21 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee neglect, related to client’s physical condition.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out 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 previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on 12/18/2025 and conducted a tour of the facility. It was alleged that the licensee neglect, related to client’s physical condition. Interviews revealed that Client 1 (C1) moved into the facility on 09/30/2025. According to paperwork observed (pre assessment intake form), it stated that C1 has a history of falls and major neurological disorder.

On 12/05/2025, it was reported to law enforcement that C1 was not obtaining
proper care at the board and care facility they lived at. Interviews revealed that C1 was being neglected and the facility was neglecting to provide care for C1. Interviews revealed that C1 was very thin, had multiple cuts on their body, frail, unclean and had bed bugs and lice. Interviews also revealed that C1 has had many falls where they fell to the ground over the last few days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026

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-20251212112008

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: 03/26/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Interviews with an outside source revealed that C1 was transported to to the Hospital. According to C1s medical assessment dated 12/11/2024 C1 is diagnosed with Schizophrenia and Parkinson's disease and it stated that they need assistance with everyday activities and needs prompting for personal needs. Interviews with staff revealed that C1 had monthly checks to their room and there was no lice in their room at the time. Interviews did reveal that the roommate had bed bugs after C1 left and the whole room was treated on 12/08/25 and 12/10/25. Interviews revealed that C1 injured their hand when they fell but there is no record or incident report of them reporting that they hurt their hand. Interviews revealed that on 10/29/25 C1 refused their medication. Interviews revealed there were times that they would refuse their medications and showers. Interviews with staff revealed that C1 does need help with everyday activities. Interviews revealed the staff have not neglected C1 and that they cannot make them take their medication or shower. Interviews revealed staff denied neglecting the clients at the facility.

Based upon the foregoing, the above listed allegation is unsubstantiated.

An exit interview was conducted with Nick Fierro and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2