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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197602272
Report Date: 03/14/2025
Date Signed: 03/14/2025 04:11:14 PM

Unsubstantiated


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
03/07/2025 and conducted by Evaluator Noemi Galarza
COMPLAINT CONTROL NUMBER: 28-AS-20250307082556
FACILITY NAME:VILLA ESPERANZA-WAGNER HOUSEFACILITY NUMBER:
197602272
ADMINISTRATOR:SEGUNDINO GOTLADERAFACILITY TYPE:
735
ADDRESS:1894 WAGNER ST.TELEPHONE:
(626) 793-2964
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:6CENSUS: 6DATE:
03/14/2025
UNANNOUNCEDTIME BEGAN:
01:57 PM
MET WITH:Segundino Gotladera, AdministratorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff stealing resident’s money.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted an initial 10-day complaint investigation visit regarding the above allegation. LPA discussed the purpose of the visit with DSP staff. Administrator Segundino Gotladera arrived shortly after.

The investigation consisted of: A physical plant tour of the home was conducted. Staff (S1 - S3). Interviews were attempted with residents, but due to limited comprehension they were unable to provide any information. Resident (R1) has limited verbal ability/comprehension. P & I records and Resident (R1's) files documents were reviewed and obtained.

**See attached 9099C for report continuation.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
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-20250307082556
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: VILLA ESPERANZA-WAGNER HOUSE
FACILITY NUMBER: 197602272
VISIT DATE: 03/14/2025
NARRATIVE
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Allegation: Staff stealing resident’s money. It is alleged that staff are stealing resident (R1's) Personal & Incidental (P & I) monies and inappropriately using the money for haircuts and fund raisers. A total of three (3) staff were interviewed. All denied the allegation. Staff stated that only Administrator has access to the P & I monies, but if they make a request for outings they get the money from Administrator. The residents in the home are level 3 with limited verbal ability and assistance with ADLs. According to staff, R1 is incapable of managing their own P & I money due to lack of comprehension. During outings, staff handle R1's money. Staff stated Licensee/company has an annual Villa Esperanza Guild fund raiser event called "Day of Thoroughbred Racing" at Santa Anita Park which charges $75.00 to residents for admission. Per staff interviews, R1's family was made aware of the event and it was agreed upon as a community outing. In regards to P & I money used for haircuts. Staff stated that another company staff was coming into the facility to give 4 out of 6 six residents, including R1 haircuts. The staff charged the residents $20.00 per haircut, and resident's paid out of their P & I cash resources. Administrator stated that Licensee thought it was a more convenient arrangement for resident haircuts. However, the Regional Center has instructed licensee to take the residents out for haircuts. LPA attempted to interview residents. None of the residents were able to answer any relevant questions. Resident (R1) has limited verbal ability and did not answer any P & I money questions due to lack of comprehension. Based on record review, haircuts and Santa Anita Park racing event were listed on the P & I ledger. P & I monies were reviewed. No discrepancies were observed. There is insufficient evidence to corroborate the allegation.

Although the allegations 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.

An exit interview was conducted and a copy of this report was discussed and provided to facility Administrator.


NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2