336425776-8-11-2026-56-AS-EMAN-DXGPS9-20260831113357

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336425776
Report Date: 08/11/2026
Date Signed: 08/11/2026 03:09:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/26/2026 and conducted by Evaluator Mary Rico

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260526153800

FACILITY NAME:	INSPIRATIONS HOME CARE VI		FACILITY NUMBER:	336425776
ADMINISTRATOR:	GARCIA, ROMULO		FACILITY TYPE:	740
ADDRESS:	1117 CARTER LN		TELEPHONE:	(951) 870-5676
CITY:	CORONA	STATE: CA	ZIP CODE:	92881
CAPACITY:	6	CENSUS: 5	DATE:	08/11/2026
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	House Manager Rose Macdangdang		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff confines resident to bed.
Staff has camera in resident's room.
Staff does not meet resident's hygiene needs.

INVESTIGATION FINDINGS:

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On 8/11/2026, Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Rose Macdangdang explained the purpose of the visit. The Administrator was also contacted and informed about today’s visit. The investigation consisted of staff interviews, resident interviews, record reviews and facility tour.

For the allegation, Staff confines resident to bed. During staff interviews, three out of the three staff stated that residents are not confined to their bed. All staff also indicated that residents are reposition out of bed. During residents’ interviews two out of the three residents stated that they are allowed to leave their bed. In addition, one out of the three residents were unable to collaborate on the allegations.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2026

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 56-AS-20260526153800

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: INSPIRATIONS HOME CARE VI	FACILITY NUMBER: 336425776
	VISIT DATE: 08/11/2026

NARRATIVE

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For the allegation, Staff has camera in resident's room. During staff interviews, three out of the three staff stated there are no cameras inside residents’ bedrooms. During resident interviews two out of the three residents stated there are no cameras inside their bedroom. During facility tour, LPA did not observe any camera inside the residents’ rooms.

For the allegation, Staff does not meet resident's hygiene needs. During staff interviews, three out of the staff stated they met resident’s needs throughout the day. During resident interviews two out of the three residents stated their hygiene needs are met.

Based on the evidence found during the investigation, the three (3) allegations listed above is deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted and this report (LIC9099) was discussed and provided to House Manager Rose Macdangdang

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2026

LIC9099 (FAS) - (06/04)

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