191591995-4-20-2026-28-AS-LHIS-DTRSAW-20260504134257

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191591995
Report Date: 04/20/2026
Date Signed: 04/20/2026 11:39:53 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/15/2026 and conducted by Evaluator Bonnie Tao

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260415164637

FACILITY NAME:	PTL GUEST HOME		FACILITY NUMBER:	191591995
ADMINISTRATOR:	BELEN A.CONNOLY		FACILITY TYPE:	735
ADDRESS:	7112 HALRAY AVE.		TELEPHONE:	(562) 698-1608
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90606
CAPACITY:	6	CENSUS: 2	DATE:	04/20/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Staff#2, staff in charge		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff did not ensure that hazardous items were inaccessible to clients in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted an unannounced 10-day complaint visit to the facility. Upon arriving at the facility, LPA met with Staff#2 (S2). Administrator joined the visit over the phone shortly after. LPA explained the purpose of today’s visit and discussed the allegation to the Administrator and S2.

The investigation consisted of client/staff interviews, physical plant tour, and facility records review. LPA obtained client roster, staff roster, and staff training records.

The investigation revealed the following:

In regards of facility staff did not ensure that hazardous items were inaccessible to clients in care, it was alleged that several unlocked containers with hazardous liquids were stored at the backyard. Per client interview, LPA attempted to interview client#2 (C2); however, C2 was in the day program and did not want to be interviewed. Per client#1 (C1) interview, C1 could not corroborate the allegation. (-continued on LIC 9099C-)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
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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Control Number 28-AS-20260415164637

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PTL GUEST HOME	FACILITY NUMBER: 191591995
	VISIT DATE: 04/20/2026

NARRATIVE

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It was revealed that all hazardous liquids stored in the backyard had been cleaned up. Per staff interviews, all three (3) staff interviewed could not corroborate the allegation which indicated all hazardous liquids in the back yard, side yard and driveway were disposed of after the Regional Center visit in March 2026. During the physical plant tour, no hazardous liquids, cleaning supplies, toxic items, disinfectant items were observed in the back yard, side yard, front yard or driveway. Inside the facility, cleaning supplies, toxic items and disinfectants were locked and inaccessible to clients. Per LPA’s observation during the visit, staff would lock cleaning supplies immediately after use which was in accordance with Title 22 practices. Per record review, in-service training related to Title 22, Section 80087, for ensuring disinfectants, cleaning supplies and toxic items to be inaccessible to the clients was provided to all staff on 04/14/26.

Based on the information obtained during the investigation, interviews with staff/clients, review of client files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above.

Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted with Staff#2. The finding was discussed and a copy this report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
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

LIC9099 (FAS) - (06/04)

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