374604751-8-8-2025-08-AS-SJAB-DKFN9K-20250811101602

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604751
Report Date: 08/08/2025
Date Signed: 08/08/2025 12:58:23 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
04/07/2025 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20250407111355

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:	40	CENSUS: 37	DATE:	08/08/2025
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Nick Fierro, Administrator		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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Staff did not prevent a resident from threatening another resident
Staff did not prevent resident from smoking in the facility
Staff did not safeguard resident's personal belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out 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 previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on April 9, 2025 and conducted a tour of the facility.

It was alleged that staff did not prevent a resident from threatening another resident,
staff did not prevent resident from smoking in the facility and staff did not safeguard resident's personal belongings. Interviews revealed that the staff will intervene if the clients are arguing but cannot prevent them from saying words. Interviews revealed the staff listen to the clients exchange of words and if they hear anything that is not appropriate they will redirect the clients. Interviews with clients stated clients threaten one another but the staff stops them from saying or repeating it. Interviews with clients revealed the clients are not smoking in the facility because the staff watch them closely. Interviews revealed the clients smoke outside in the smoking areas.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

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 08-AS-20250407111355

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: 08/08/2025

NARRATIVE

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Interviews with staff stated that they conduct a walk through/rounds frequently to check on the safety of clients and to make sure nothing is going on that they should not be doing. Interviews revealed that the staff safeguard clients belongings by conducting rounds and making sure clients are not in other clients rooms, that clients are putting their items up and not leaving them out for others to take. Interviews revealed the clients at times have to be reminded not to touch things that are out especially if clients step away for a moment but for the most part are good about it.

The Department has investigated the above-mentioned allegations and based on interviews, LPA observations, and records review, it was determined that the complaint allegations are Unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

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: 08/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

LIC9099 (FAS) - (06/04)

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