306004509-8-27-2026-22-AS-LMOA-DXH6BJ-20260831204001

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004509
Report Date: 08/27/2026
Date Signed: 08/27/2026 12:49:13 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/10/2024 and conducted by Evaluator Claudia Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240410161448

FACILITY NAME:	BONAFIDE HOME CARE		FACILITY NUMBER:	306004509
ADMINISTRATOR:	ERLEEN B. RINEHART		FACILITY TYPE:	740
ADDRESS:	25215 ROMERA PL.		TELEPHONE:	(949) 716-4914
CITY:	LAKE FOREST	STATE: CA	ZIP CODE:	92630
CAPACITY:	6	CENSUS: 6	DATE:	08/27/2026
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Crisanto "Cris" Delos Ama		TIME COMPLETED:	12:25 PM

ALLEGATION(S):

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Facility staff are not providing appropriate supervision to residents
Facility staff do not maintain passageways free of obstruction
Facility staff not assisting resident with mobility as needed
Facility staff not assisting resident with using the restroom

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above and met with Staff Cris Delos Ama.

Regarding allegation, Facility staff are not providing appropriate supervision to residents, the following was revealed: Complaint alleges an unknown staff was putting all residents to bed so staff could nap twice during the day. During the course of the investigation, interviews were conducted with four facility residents and two staff. Three of four residents interviewed denied having any knowledge of staff napping during the day and stated staff are available to provide care and assistance as needed. One of four residents was unable to confirm or deny allegation. Two of two staff interviewed denied having any knowledge of staff napping and not providing appropriate supervision to residents, and stated staff are able to take breaks during their shift, however, another staff is always available to continue providing care and supervision to residents. (Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026

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 22-AS-20240410161448

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: BONAFIDE HOME CARE	FACILITY NUMBER: 306004509
	VISIT DATE: 08/27/2026

NARRATIVE

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Regarding allegation, Facility staff do not maintain passageways free of obstruction, the following was revealed: Complaint alleges passageways throughout the inside and outside of the facility were obstructed by multiple items, including a recliner. During the course of the investigation, LPA conducted a tour of the inside and outside of the facility and observed indoor and outdoor passageways were free of obstruction and any and all recliners were observed to be placed against the wall and away from passageways and doorways. Three of four residents interviewed denied passageways are not maintained free of obstruction and stated they are able to easily maneuver their walkers and wheelchairs throughout the facility. One of four residents was unable to confirm or deny allegation. Two of two staff interviewed denied having any knowledge of passageways being obstructed and stated passageways have been and continue to be free of obstruction.

Regarding allegations, Facility staff not assisting resident with mobility as needed and Facility staff not assisting resident with using the restroom, the following was revealed: Complaint alleges staff did not assist Resident 1 (R1) with mobility and incontinence care as needed. R1 no longer resides at the facility. During the course of the investigation, three separate attempts were made to contact R1 by phone, however, they could not be reached to confirm or deny allegations. Three of four residents interviewed stated they are assisted with mobility and incontinence are as needed. One of four residents was unable to confirm or deny allegations. Two of two staff interviewed denied personally not assisting residents or having any knowledge of any other staff not assisting residents with mobility or incontinence care.

Based on information gathered, the Department did not find sufficient evidence to support the allegations, “Facility staff are not providing appropriate supervision to residents, Facility staff do not maintain passageways free of obstruction, Facility staff not assisting resident with mobility as needed, and Facility staff not assisting resident with using the restroom”. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are Unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026

LIC9099 (FAS) - (06/04)

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