<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800237
Report Date: 02/13/2026
Date Signed: 02/13/2026 01:17:51 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
12/03/2025 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20251203115650
FACILITY NAME:GABRIELA CARE HOME INCFACILITY NUMBER:
331800237
ADMINISTRATOR:CALILUNG, RESTITUTOFACILITY TYPE:
740
ADDRESS:1717 TAMARRON DRIVETELEPHONE:
(714) 906-6046
CITY:CORONASTATE: CAZIP CODE:
92883
CAPACITY:6CENSUS: 5DATE:
02/13/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Staff Lorena DelacruzTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful Eviction.
Staff is not providing night supervision to resident in care.
Staff is not meeting resident dietary needs.
Licensee is not accommodating care needs of the resident in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the purpose of delivering findings for the above allegations. LPA met with Staff Lorena Delacruz and explained today's visit. LPA contacted Administrator Restituto Calilung via telephone to inform of today's visit.

On 12/03/2025, the department received a complaint with allegation in regards to unlawful eviction. Per facility records and interviews, Resident #1 (R1) requested to be sent to the hospital due to personal needs. LPA interviewed R1 who indicated facility did not unlawfully evict R1, R1 chose to leave facility.

Second allegation alleges that staff is not providing night supervision to resident in care. LPA conducted (5) resident interviews. Per interviews, there was not enough evidence to corroborate that allegation of staff not providing night supervision may have or may have not occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026
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-20251203115650
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: GABRIELA CARE HOME INC
FACILITY NUMBER: 331800237
VISIT DATE: 02/13/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Third allegation alleges that facility staff are not meeting dietary needs of residents in care. LPA conducted (5) resident interviews. 3 out of the 5 residents indicated dietary needs of residents are being met. LPA observed physician report for Resident #1 (R1) did not indicate special dieting needs.

Fourth allegation alleges licensee is not accommodating care needs of the resident in care. LPA conducted (2) staff interviews and (5) resident interviews. Due to insufficient evidence, investigation did not reveal that licensee was not accommodating care needs for resident in care.

Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

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 Staff Lorena Delacruz. LPA contacted Administrator Restituto Calilung to inform of investigation findings and conduct exit interview. Administrator confirmed to have staff Lorena Delacruz sign reports.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2