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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425914
Report Date: 09/30/2025
Date Signed: 09/30/2025 02:17:57 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
09/23/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250923084240
FACILITY NAME:JULINDA'S HOME CAREFACILITY NUMBER:
366425914
ADMINISTRATOR:RODRIGUEZ, JULINDAFACILITY TYPE:
740
ADDRESS:13945 IVY AVE.TELEPHONE:
(909) 371-0314
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY:6CENSUS: 1DATE:
09/30/2025
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Julinda RodriguezTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff unlawfully evicted the residents.
Staff is mistreating the residents.
Staff are not abiding to the admission agreement.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Administrator Julinda Rodriguez and explained the purpose of the visit. The investigation consisted of interviews, record review, and observation.

First allegation: Staff unlawfully evicted the residents. Regarding the allegation listed above, LPA conducted a review of records during the review LPA discovered based on facility 2024-year evaluation the facility had a census of zero (0), residents in care. On 9/30/2025, LPA conducted an announced visit to the facility listed above LPA discovered that facility had a current census of one (1) during review of record LPA discovered that R#2 was admitted to the facility on 6/1/2025. LPA conducted an interview with S#1 who informed LPA that facility has not processed any evictions. S#1 informed LPA that facility has never
provided care to R#1.

Second allegation: Staff is mistreating the residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
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 2
Control Number 56-AS-20250923084240
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: JULINDA'S HOME CARE
FACILITY NUMBER: 366425914
VISIT DATE: 09/30/2025
NARRATIVE
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Regarding the allegation LPA conducted an interview with R#2 LPA went over the allegation with R#2 regarding “staff is mistreating residents” R#2 informed LPA that there are no concerns regarding mistreatment. R#2 further informed LPA that they like the facility and that they feel safe. LPA conducted an interview with S#1 regarding the allegation and S#1 denied the allegation of staff mistreating residents. In addition, S#1 informed LPA that they have not witnessed staff mistreat residents in care.

Third allegation: Staff are not abiding to the admission agreement. Regarding the allegation LPA conducted an interview with R#2 LPA went over the allegation regarding “Facility not abiding by facility’s admission agreement R#2 informed LPA that facility meets their care needs based on their admission agreement daily. R#2 further informed LPA that they have been at the facility for a few months and have no concerns regarding their care. LPA conducted an interview with S#1 LPA went over the allegation with S#1 and S#1 denied the allegation pertaining to staff not abiding to facility admission agreement. S#1 informed LPA that every resident has an individual need and that the facility ensures that each resident need is met daily according to their admission agreement. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated.

Unsubstantiated: meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Julinda Rodriguez at the end of the visit.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2