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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191592637
Report Date: 10/16/2025
Date Signed: 10/16/2025 02:52:26 PM

Substantiated


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
10/10/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251010153102
FACILITY NAME:ADULT BASIC LEARNING ENVIRONMENT, INC.FACILITY NUMBER:
191592637
ADMINISTRATOR:MIRIAM CUEVASFACILITY TYPE:
775
ADDRESS:452 W. BADILLO ST.TELEPHONE:
(626) 858-5267
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY:30CENSUS: 19DATE:
10/16/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Evelyn Serrano (Assistant Program Director) and Laura Bradshaw (Administrator)TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are not following a client's care plan.
Staff did not prevent the facility from being in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a visit to investigate the above allegations. LPA met with Evelyn Serrano (Assistant Program Director). Laura Bradshaw (Administrator) arrived at approximately 10 A.M.. LPA explained the purpose of today’s visit.

Durning today’s visit, LPA obtained a copy of the staff and client rosters, reviewed Client #1 (C-1) and Client #2 (C-2) files and obtained relevant documentation, interviewed Staff #1 (S-1) through Staff #7 (S-7) and conducted a tour of the kitchen. LPA was unable to interview C-1 as C-1 is non-verbal. LPA attempted to interview C-2 and was unsuccessful. Additionally, LPA interviewed C-1’s Service Coordinator via telephone and left a voice mail message for C-2’s Service Coordinator for a return call.

Refer to LIC 9099C for the continuation of this report.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
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 5
Control Number 28-AS-20251010153102
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: ADULT BASIC LEARNING ENVIRONMENT, INC.
FACILITY NUMBER: 191592637
VISIT DATE: 10/16/2025
NARRATIVE
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Allegation: Staff did not ensure that staff are properly trained. It has been alleged that staff did not receive any training on food preparation or meals (including C-2’s thickener for C-2’s food). Staff interviews revealed that they have not received in-service training on food preparation or meals (including using the thickener). Interviewed staff indicated that they follow the instructions from C-2’s home on how to use the thickener and have trained each other. Staff interviews revealed that C-2 uses thickener for C-2’s drinks. Administrator indicated that staff have not received in-service training since the Administrator began their duties at this program. Interviews corroborate this allegation.

Allegation: Staff did not prevent the facility from being in disrepair. It has been alleged that the electrical outlets in the kitchen do not work. Staff interviews revealed that the electrical outlets in the kitchen near the sink area do not work. Interviewed staff indicated that the outlets for the microwave and refrigerator are operational. Interviewed staff indicated that they use the electrical outlet where the microwave is connected when they need to use it. Per the Administrator, the electrical issue has been reported to the building owner and the owner has not repaired it. Interviews and tour corroborate this allegation.

Deficiency cited. Refer to LIC 9099D.

Based on interviews and tour conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

An exit interview was conducted. A copy of this report and appeals rights were provided to Laura Bradshaw.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/10/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251010153102

FACILITY NAME:ADULT BASIC LEARNING ENVIRONMENT, INC.FACILITY NUMBER:
191592637
ADMINISTRATOR:MIRIAM CUEVASFACILITY TYPE:
775
ADDRESS:452 W. BADILLO ST.TELEPHONE:
(626) 858-5267
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY:30CENSUS: 19DATE:
10/16/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Evelyn Serrano (Assistant Program Director) and Laura Bradshaw (Administrator)TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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2
3
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9
Staff are not following a client's care plan.
Administrator did not ensure that a qualified staff is available at the facility during their absence.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a visit to investigate the above allegations. LPA met with Evelyn Serrano (Assistant Program Director). Laura Bradshaw (Administrator) arrived at approximately 10 A.M.. LPA explained the purpose of today’s visit.

Durning today’s visit, LPA obtained a copy of the staff and client rosters, reviewed Client #1 (C-1) and Client #2 (C-2) files and obtained relevant documentation, interviewed Staff #1 (S-1) through Staff #7 (S-7) and conducted a tour of the kitchen. LPA was unable to interview C-1 as C-1 is non-verbal. LPA attempted to interview C-2 and was unsuccessful. Additionally, LPA interviewed C-1’s Service Coordinator via telephone and left a voice mail message for C-2’s Service Coordinator for a return call.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 28-AS-20251010153102
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: ADULT BASIC LEARNING ENVIRONMENT, INC.
FACILITY NUMBER: 191592637
VISIT DATE: 10/16/2025
NARRATIVE
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Staff are not following a client's care plan. It has been alleged that staff are not following the client’s care plan pertaining to the staff-to-client ratio (including 1:1 for C-1). Staff interviews revealed that their staff-to-client ratio is (1) staff to (3) clients. Interviewed staff indicated that there are no clients receiving 1:1 support (including C-1). Review of C-1’s file and interview conducted with C-1’s Service Coordinator, revealed that C-1 only receives 1:1 support at C-1’s home and not at this program. Interviews and documentation do not corroborate this allegation.

Administrator did not ensure that a qualified staff is available at the facility during their absence. It has been alleged that the Administrator was not at this facility and did not have staff in place to handle the day-to-day operations of this facility (for a few weeks in September through early October 2025). Staff interviews revealed that the Administrator has been present at this facility. Interviewed staff indicated that there is also an Assistant Program Director present. Interview staff indicated there is always a Supervisory staff present. Interviews do not corroborate this allegation.

Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report and appeal rights were provided to Laura Bradshaw.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20251010153102
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: ADULT BASIC LEARNING ENVIRONMENT, INC.
FACILITY NUMBER: 191592637
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2025
Section Cited
CCR
82065(f)(1)
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Personnel Requirements (f) All personnel shall be given on-the-job training or shall have related experience providing knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance. (1) Principles of nutrition, food
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Administrator to conduct an in-service training for staff pertaining to food preparation and submit proof of training (including curriculum used, sign-in sheet with date, duration of training and staff signature) to LPA Irra by POC due date.
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preparation and storage and menu planning. This standard is not met as evidence by: Staff interviews revealed that they have not received in-service training on food preparation or meals (including using the thickener).
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Type B
10/24/2025
Section Cited
CCR
82087(a)
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 Buildings and Grounds (a) The program site shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.
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Administrator to ensure all electrical outlets in the kitchen are operational. Administrator to submit a statement pertaining to the repair of the electrical outlets by to LPA Irra by POC due date.
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This standard is not met as evidence by: Staff interviews revealed that the electrical outlets in the kitchen near the sink area do not work.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5