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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191592637
Report Date: 02/09/2026
Date Signed: 02/09/2026 03:10:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/02/2026 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20260202115611
FACILITY NAME:ADULT BASIC LEARNING ENVIRONMENT, INC.FACILITY NUMBER:
191592637
ADMINISTRATOR:LAURA BRADSHAWFACILITY TYPE:
775
ADDRESS:452 W. BADILLO ST.TELEPHONE:
(626) 858-5267
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY:30CENSUS: 16DATE:
02/09/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Evelyn Serrano - Assistant Program DirectorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Licensee did not ensure facility was operating within ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted an initial 10 days complaint visit and investigate the above allegation. LPA met with Evelyn Serrano, Assistant Program Director. Program Director Laura Bradshaw arrived shortly after and assisted with visit. LPA explained the reason of the visit.

The investigation consisted of the following: LPA toured the facility, obtained copies of Staff and Client Rosters, Program Goals / Staffing Ratio and San Gabriel Pomona Regional Center program review.
LPA interviewed the Program Director and 4 Staff ( S1 - S4) LPA was able to interview 1 client (C1), however, the others did not appear to have the cognitive ability to answer questions.

Continue 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2026
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 3
Control Number 28-AS-20260202115611
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: ADULT BASIC LEARNING ENVIRONMENT, INC.
FACILITY NUMBER: 191592637
VISIT DATE: 02/09/2026
NARRATIVE
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The investigation revealed the following: Allegation: Licensee did not ensure facility was operating within ratio. It was alleged that the day program was out of ratio. On 02/02/26 3 staff were at the facility with 15 clients.

LPA interviewed Program Director and 4 staff. Interviewed Program Director indicated that the day program staff to client ratio is 1 to 3 and acknowledged that there were some days that facility was short staffed and the staff to client ratio was over due to resignations, vacation and unexpected call offs. The Program Director stated some staff called out at the last minute. Program Director stated they tried to find the coverage from other locations which doesn't always work out. Also the Program Director stated facility is actively trying to hire additional staff to operate within Regional Centers required 1:3 ratio. Program Director confirmed that there were times when the client to staff ratios were not met. All staff interviewed confirmed the above allegation and stated that although their ratio should be 1:3 (one staff to 3 participants) they often operate with a 1:4 or 1:5 ratio as there are staff call offs. They mentioned that last week in particular there weren't enough staff at the program. Interviewed S2 and S3 stated on 02/02/26 and on 02/06/26 there were 3 staff on the floor with 15 clients. LPA was able to interview one client; however, the others did not appear to have the cognitive ability to answer questions. Interviewed C1 stated not knowing if the facility is short staffed.

Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

Citation noted on 9099D.

Exit interview held, and a copy of this report and appeal rights provided to Assistant Program Director.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260202115611
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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: 02/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2026
Section Cited
CCR
82065.5(a)(1)
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82065.5 Staff-Client Ratio (a)Whenever a client who relies upon others to perform all activities of daily living is present, the following minimum staffing requirements shall be met: (1)For Regional Center clients, staffing shall be maintained as specified by the Regional Center.
This standard is not met at evidence by:
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Program Director to provide LPA with a written plan on how they will ensure that facility will operate within the required ratio and email plan to LPA by POC due date.
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Based on interviews, record reviews the facility has been operating as a 1:4 and 1:5 ratio due to insufficient staffing which poses a potential health & safety risk to clients in care.
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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: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2026
LIC9099 (FAS) - (06/04)
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