Senior Care Records.

Facility Evaluation Report

Family Home LLC, San Dimas12/11/2025Licence 198603021

Capacity6
Census6
Date signed12/11/2025 01:11:52 PM
Name of licensing program analystChristian Gutierrez
Name of licensing program managerDavid Sicairos
The inspector’s account

Licensing Program Analyst (LPA) Christian Gutierrez generated this Case Management - Deficiencies report in conjunction with complaint control 28-AS-2025102733520 pertaining to observations during tour of facility. The purpose of the report was explained to staff.

During complaint investigation, LPA Gutierrez entered unlocked attached garage and observed several pill boxes with prefilled medication for several residents in unlocked drawer accessible to residents. During the visit S4 stated that he/she knew that they were not supposed to have medication in pill boxes and hid them once they saw LPA.

Based on observation, citations are being issued. See LIC 809D.

An exit interview was conducted, and a copy of the report and appeal rights were issued.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction