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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300613262
Report Date: 05/14/2025
Date Signed: 05/14/2025 04:30:38 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/09/2025 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250509141500
FACILITY NAME:NEW ERA GUEST HOMEFACILITY NUMBER:
300613262
ADMINISTRATOR:GUTIERREZ, JOSEFINA P.FACILITY TYPE:
740
ADDRESS:12692 BLACKTHORN ST.TELEPHONE:
(714) 537-1282
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:6CENSUS: 4DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Josefina GutierrezTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
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5
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8
9
Staff inappropriately restrained resident in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
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9
10
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12
13
This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Administrator (AD) Josefina Gutierrez, discussed the purpose of the inspection, and explained the allegation.

The investigation into the allegation that staff inappropriately restrained resident in care revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD, clients, witnesses, and staff, and obtained and reviewed copies of the resident roster and staff roster.

It was alleged that facility staff feed residents too quickly and held a resident’s arms down after getting frustrated that the resident wanted them to slow down. LPA inspected the facility, conducted health and safety checks on residents, observed no health and safety issues, and observed no evidence of injuries on any of the residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
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 22-AS-20250509141500
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: NEW ERA GUEST HOME
FACILITY NUMBER: 300613262
VISIT DATE: 05/14/2025
NARRATIVE
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LPA interviewed one resident who reported that staff are too rough and fast when changing them and feeding them and that staff grabbed their arms. LPA did not observe any marks or injuries on this resident’s arms. LPA also interviewed a witness who reported that this resident is sometimes confused. LPA interviewed AD and both staff who denied being too rough, too fast, or restraining residents while providing care. LPA interviewed the other three residents and did not obtain information corroborating the allegation. The information obtained is conflicting.

Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/09/2025 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250509141500

FACILITY NAME:NEW ERA GUEST HOMEFACILITY NUMBER:
300613262
ADMINISTRATOR:GUTIERREZ, JOSEFINA P.FACILITY TYPE:
740
ADDRESS:12692 BLACKTHORN ST.TELEPHONE:
(714) 537-1282
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:6CENSUS: 4DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Josefina GutierrezTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Administrator (AD) Josefina Gutierrez, discussed the purpose of the inspection, and explained the allegation. The investigation into the allegation that staff hit resident revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD, clients, and staff, and obtained and reviewed copies of the resident roster and staff roster. It was alleged that facility staff hit a resident on the head. LPA inspected the facility, conducted health and safety checks on residents, observed no health and safety issues, and observed no evidence of injuries on any of the residents. LPA interviewed four residents and did not obtain information corroborating the allegation. LPA interviewed AD and both staff who denied the allegation. The information obtained did not corroborate the allegation. The Department has investigated the above allegation and found it to be Unfounded, meaning the allegation was false, could not have happened, or is without reasonable basis. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3