374601332-8-26-2025-08-AS-RCLK-DLUVV9-20250925164557

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601332
Report Date: 08/26/2025
Date Signed: 08/26/2025 04:17:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/11/2025 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20250311142609

FACILITY NAME:	ROYAL GARDEN GUEST HOME		FACILITY NUMBER:	374601332
ADMINISTRATOR:	RODOLFO TABLADILLO		FACILITY TYPE:	740
ADDRESS:	39 G STREET		TELEPHONE:	(619) 420-0830
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	6	CENSUS: 3	DATE:	08/26/2025
		UNANNOUNCED	TIME BEGAN:	03:35 PM
MET WITH:	Administrator Rodolfo Tabladillo		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Staff had an inappropriate sexual interaction with residents
Staff made inappropriate comments to residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Administrator Rodolfo Tabladillo and we discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of Department observation, records review, interviews with staff, residents and outside sources.

It was alleged that Staff1 (S1) had an inappropriate sexual interaction with residents. It was also alleged that S1 made inappropriate comments to residents. It was reported that S1 made sexual remarks towards Resident 1 (R1). It was also reported that Resident 2 (R2) was forced to have sexual relations with S1 causing scratches and redness to R2’s back area. Records review revealed R1 has a diagnosis of schizophrenia, bipolar and traumatic brain injury.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025

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 4

Control Number 08-AS-20250311142609

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ROYAL GARDEN GUEST HOME	FACILITY NUMBER: 374601332
	VISIT DATE: 08/26/2025

NARRATIVE

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The Department interviewed R1 on March 20, 2025. R1 stated that they have lived at the facility for over two years. R1 stated that they have a diagnosis of Schizophrenia for which they take medication, to think and behave accordingly. R1 stated that they have auditory hallucinations and hear voices. R1 stated that in the past week they heard “voices” three times. R1 stated that they have hallucinated for “a long time now.” R1 stated that on January 21, 2022, “S1 said, you better keep your mouth shut, they can’t prove anything, you always bother me at the wrong time.” R1 kept insisting that they were telling the truth. R1 stated that S1 lived in the garage. R1 stated that S1 made sexual remarks to R1 for several months. R1 stated that R1 did not inform the Licensee of the incidents involving S1. R1 stated that R1 overheard another resident had scratches and redness on their back. R1 stated that S1 walks into the facility through the garage at night and enters R2’s room. R1 denied S1 coming into their room at night but reiterated that S1 made sexual remarks to R1.

On March 20, 2025 the Department attempted to interview R2. R2 did not respond to their name and did not respond to any of the questions asked. R2’s physician’s report revealed R2 had a diagnosis of; memory loss, delirium, mild cognitive impairment, and R2 is non-verbal.

On March 20, 2025 the Department interviewed Resident 3 (R3). R3 stated S1 did enter the facility through the garage door. R3 has seen S1 coming in and out into the living room, then going into the kitchen. R3 has not seen S1 go into R2’s room. R3 stated that S1 assists S2 with cooking. R2 denied being touched inappropriately by S1. R2 also denied having any redness, scratches or rawness on their back that were caused by S1.

On March 20, 2025 the Department interviewed Resident 4 (R4) R4 stated that they have never witnessed S1 “go in and out” of R2’s bedroom. R4 stated that S1 would cook meals sometimes, work in the yard and do some housekeeping. R4 stated that although they have seen S1 seated in a lawn chair in the garage they do not know if S1 has ever slept in the garage.

The Department interviewed S1 on March 20, 2025. S1 confirmed that they did not live at the facility. S1 stated that their work duties include landscaping and occasionally the cooking. S1 did not know the residents by name, only by their “looks.” S1 stated that they do not work past 5pm at the facility. S1 denied the following: touching any of the residents, making any sexual remarks to R1 and forcing a resident to have sexual relations with them.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20250311142609

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ROYAL GARDEN GUEST HOME	FACILITY NUMBER: 374601332
	VISIT DATE: 08/26/2025

NARRATIVE

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No corroborating evidence or witness interviews to support that S1 had ever touched a resident or said anything inappropriately to the residents. Based on interviews conducted and review of resident records, the preponderance of the evidence standard has not been met and the allegations are unsubstantiated.

An exit interview was conducted with Administrator Rodolfo Tabladillo. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Administrator Rodolfo Tabladillo whose signature below verifies receipt of these rights.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 08-AS-20250311142609

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ROYAL GARDEN GUEST HOME	FACILITY NUMBER: 374601332
	VISIT DATE: 08/26/2025

NARRATIVE

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S1 stated that S1 did not talk to the residents. S1 stated that the Licensee is always present at the facility and/or Staff 2 (S2) who did the house cleaning and cooking as well.

On April 7, 2025 the Department interviewed Staff 2 (S2). S2 stated that S2 works at the facility Monday through Friday. S2 stated that S1 will occasionally help with the cooking but S1 mainly works in the yard. S2 stated that S1 did not take care of any of the residents. S2 stated that S1 has a home and S1 goes home after work hours. S2 stated that S1 did not assist with the care of residents, including; the changing of clothes or incontinence briefs. S2 stated that S1 did not go into resident’s rooms even on the days that S1 helps with the cooking.

On March 20,2025 the Department interviewed Administrator (ADM). ADM stated that R1 was recently hospitalized due auditory hallucinations. ADM stated that R1 has a diagnosis of Schizophrenia for which they take medication. ADM stated that R1 has made complaints against everyone and has told their doctor about S1 doing certain things to the other residents which is not true. ADM stated that S1 is not a caregiver, but S1 would cook occasionally. ADM stated that S1 does not live on the property. ADM stated that R2 was admitted to the facility on November 2024. ADM denied R2 had any wounds or scratches on their back. The Department was shown R2’s back and no marks or scratches were observed. ADM further stated that R1 has been expelled from previous Adult Day Programs that R1 attended due to “making up stories.”

On August 4, 2025 LPA interviewed an Outside Source (OS) for an unrelated complaint investigation involving R1. OS stated that they have worked directly with R1 for several months. OS stated that they regularly receive many voicemail's and messages from R1 regarding various gripes and allegations. OS stated that when they “press” R1 for more details or information regarding the allegations, they do not get any details from R1. OS stated that the facility is a "good place for R1 to be." OS stated that due to R1's condition and intolerance of stress, R1 tends to report things in the moment.

A review of records further revealed that S1 was not working at the facility during the time of allegations: R1 stated on January 21, 2022, S1 made sexual remarks towards R1, however S1 started working at the facility September or October 2024. R1 stated S1 was having forced sexual relations with R2. R2 was not admitted into the facility until November 2024, and neither R2 nor R3 had scratches on their backs, as was reported by R1.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025

LIC9099 (FAS) - (06/04)

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