425850134-5-11-2026-29-AS-KBUY-DUGU9C-20260527152255

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425850134
Report Date: 05/11/2026
Date Signed: 05/11/2026 01:56:06 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/02/2026 and conducted by Evaluator Mark Jeffries

COMPLAINT CONTROL NUMBER: 29-AS-20260502092919

FACILITY NAME:	REM CALIFORNIA LLC - LOMPOC		FACILITY NUMBER:	425850134
ADMINISTRATOR:	SMITH, RONICA		FACILITY TYPE:	775
ADDRESS:	1133 NORTH H STREET SUITE F		TELEPHONE:	(805) 430-8106
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY:	45	CENSUS: 12	DATE:	05/11/2026
		UNANNOUNCED	TIME BEGAN:	12:10 AM
MET WITH:	REM Program Director, Catarina Garcia		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff conduct poses a risk to clients in care.

INVESTIGATION FINDINGS:

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On 05/11/2026, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to issue final findings to the allegation to this complaint. LPA met with REM Program Director, Catarina Garcia, announce who he is and the reason for the visit.

As to the allegation of, “Staff conduct poses a risk to clients in care.” It was alleged that on May 1, 2026, Staff 1 (S1) had caused a disturbance by yelling and being hostel resulting in staff and clients feeling unsafe in care. On 05/05/2026, Licensing Program Analyst, Jeffries conducted interviews with 8 of 8 staff (S1, S2, S3, …..) 5 of 8 staff stated that the S1 had an outburst statement in front of clients and staff which was not work appropriate (“I’m not doing this today!”) according to 5 of 8 staff. LPA noted that S1 also stated that, on May 1, 2026, they made the statement “I’m not having this today.” as a result of duress from non-work-related matters. 8 of 8 staff acknowledged that two of the clients attending the program that day had uncommon behavioral outburst during the morning of May 1, 2026.
CONTINUED on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026

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 3

Control Number 29-AS-20260502092919

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: REM CALIFORNIA LLC - LOMPOC	FACILITY NUMBER: 425850134
	VISIT DATE: 05/11/2026

NARRATIVE

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Additionally, 7 of 8 staff stated that S9 had made a demand comment to S1, 5 of 8 staff, stated that was aggressive and not work appropriate (Get in my office, now!”) LPA noted that all staff and clients in program building heard S9 address S1 according to interviews. 8 of 8 staff stated that there were no outings on May 1, 2026, and all clients and staff were present at the facility during the time of the two known verbal outbursts by S1 and S9 on May 1, 2026. On 05/05/2026, LPA and Program Director, Steven Almaguer conducted interviews with Client 1 (C1) and C2. C1 was unable to answer questions pertaining to May 1, 2026. C2 stated that they did hear “staff” yelling on May 1, 2026. On 05/05/2026, LPA conducted file review of facility staff schedule and client assignment for May 1, 2026, and noted that 8 staff working with 13 clients in care. LPA noted that S1 was assigned to two clients C1, and C2, on May 1, 2026. On 05/11/2026, LPA conducted aI phone interview with S9 who stated, they did used elevated tone when addressing S1 but not yell.” Based on interviews, admissions, and documentation there is enough evidence to support the allegation of, “Staff conduct poses a risk to clients in care.” and is substantiated at this time.

Exit interview, report read, appeal rights, and report provided.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260502092919

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: REM CALIFORNIA LLC - LOMPOC	FACILITY NUMBER: 425850134
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/11/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/25/2026 Section Cited CCR 82072(a)(1)	1 2 3 4 5 6 7	82072 Personal Rights (a)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 requirement was not met by evidence of interviews and admission of	1 2 3 4 5 6 7	All facility employes will participate in a 1 hour "in-house" personal rights training focusing on staff conduct while in the presence of clients. Administrator will report back to LPA by email (mark.jeffries@dss.ca.gov) with participants and topics covered by 05/25/2026.
	8 9 10 11 12 13 14	S1 and S9 using elevated tone of voice in the presents of clients in care, which poses a potential risk to clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2026

LIC9099 (FAS) - (06/04)

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