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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881569
Report Date: 04/20/2026
Date Signed: 04/20/2026 12:11:47 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
03/05/2026 and conducted by Evaluator Abdoulaye Zerbo
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20260305080602
FACILITY NAME:GENTLE CARE ESTATES LLCFACILITY NUMBER:
331881569
ADMINISTRATOR:HAMED, EBRAHEEMFACILITY TYPE:
740
ADDRESS:18183 HAINES STTELEPHONE:
(786) 564-3771
CITY:PERRISSTATE: CAZIP CODE:
92570
CAPACITY:6CENSUS: 3DATE:
04/20/2026
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Bashar MayyasTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff grabbed client resulting in injury
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Abdoulaye Zerbo conducted an unannounced visit to the facility to deliver findings for the allegation listed above. LPA met with Administrator Bashar Mayyas, who was informed of the purpose of the visit.

LPA toured the facility and obtained copies of pertinent records. During the visit, LPA learned Resident #1 (R1) never resided at this facility through records review and interviews. The Administrator also confirmed that R1 never resided at this facility.

Based on record reviews and interviews, the allegations listed above is Unfounded. A finding of Unfounded means the allegation could not have happened, is false, and/or is without a reasonable basis.

LPA conducted an exit interview and a copy of this report was provided Administrator Bashar Mayyas.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026
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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