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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191592733
Report Date: 09/13/2025
Date Signed: 09/13/2025 01:39:11 PM

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
09/04/2025 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250904122507
FACILITY NAME:L.A HOMEFACILITY NUMBER:
191592733
ADMINISTRATOR:SALVADOR, ERLINDAFACILITY TYPE:
735
ADDRESS:13881 SARANACTELEPHONE:
(562) 941-2830
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:6CENSUS: 4DATE:
09/13/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Administrator Erlinda SalvadorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Licensee allows uncleared individuals in the facility.
Facility staff does not provide a safe environment for clients.
Facility staff did not ensure clients were adequately supervised.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint investigation visit on 09/13/2025 to deliver findings regarding the above allegations. LPA Ramirez and LPA Tena Herrera conducted an initial complaint investigation visit on 09/10/2025 at 8pm and conducted interviews, gathered and reviewed documents. Due to time constraints, a need further investigation was documented. During today’s visit, LPA Ramirez was greeted by Administrator Erlinda Salvador and explained the purpose of the visit.
The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster (LIC 9020), Staffing schedule for the week of 9/07/25 through 9/13/25, Client# 1- 2 Interviews (C1 – C2) attempted interview of client# 3- 4 (C3- C4), Staff# 1- 4 interviews (S1- S4), Attempted interview of staff#5 - 6 (S5 – S6), Clients#1-4 (C1-C4) Physician’s Report (LIC 602), copy of C1-C3 recent Individual Program Plan (IPP), toured interior and exterior of facility .

SEE 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2025
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 2
Control Number 28-AS-20250904122507
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: L.A HOME
FACILITY NUMBER: 191592733
VISIT DATE: 09/13/2025
NARRATIVE
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The investigation revealed the following: regarding the allegation “Licensee allows uncleared individuals in the facility.” It is alleged the licensee allows uncleared individuals in the facility. Four (4) out of the four (4) staff interviewed denied this allegation. Two (2) out of the two (2) clients interviewed denied this allegation. Client interviews revealed clients have only seen facility staff and medical professionals in the facility. LPA Ramirez reviewed staff files and staff roster and observed all staff on roster are associated to the facility. During the facility tour on 09/10/2025 at 8pm, LPA Ramirez did not observe uncleared individuals in the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

“Facility staff does not provide a safe environment for clients.” It is alleged that facility staff do not provide a safe environment for clients in care. Four (4) out of the four (4) staff interviewed denied this allegation. Two (2) out of the two (2) clients interviewed denied this allegation. During the facility tour on 09/10/2025 at 8pm, LPA Ramirez did not observe any hazards in or outside the facility. LPA Ramirez observed two (2) out of the four (4) clients in care, seated in the living room watching television. Clients appeared to be well groomed and alert. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

“Facility staff did not ensure clients were adequately supervised.” It is alleged staff do not ensure clients are adequately supervised. Four (4) out of the four (4) staff interviewed denied this allegation. Staff interviews revealed two (2) permanent live-in staff reside at the facility and staff is always present in the facility. Two (2) out of the two (2) clients interviewed denied this allegation. Clients interviewed revealed staff are supervising clients in the facility however clients revealed they are free to go out into the community without staff supervision. During record review, LPA Ramirez observed C1 – C4 Physician’s Report (LIC 602), which revealed C1 – C4 may leave the facility unassisted. During the facility tour on 09/10/2025 at 8pm, LPA Ramirez observed two (2) out of the four (4) clients in care, seated in the living room watching television. Clients appeared to be well groomed and alert. LPA Ramirez observed one (1) staff seated in the living room area alongside two (2) out of the four (4) clients. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited for this complaint investigation. Exit interview was conducted. A copy of this report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2