197606644-4-18-2026-28-AS-FFIS-DU42H8-20260514172420

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606644
Report Date: 04/18/2026
Date Signed: 04/18/2026 01:01:44 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
03/10/2026 and conducted by Evaluator Kimberly Ramirez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260310082758

FACILITY NAME:	JASMINE'S HOME CARE		FACILITY NUMBER:	197606644
ADMINISTRATOR:	LEVITA H. MAGHIRANG		FACILITY TYPE:	740
ADDRESS:	13829 E. RUSSELL STREET		TELEPHONE:	(562) 693-9608
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90605
CAPACITY:	6	CENSUS: 4	DATE:	04/18/2026
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Caregiver Jasmin Del		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Facility staff are not meeting resident diapering needs.
Staff do not treat resident with dignity or respect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint investigation visit on 04/14/2026 regarding the above allegations. On 03/12/2026, LPA Ramirez conducted an unannounced initoal complaint investigation and a need further investigation was documented. During today’s visit LPA Ramirez was greeted by Jasmin Del and explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff#1-3 interview (S1-S3), Resident#1-6 interviews (R1-R6), Interview with R2's familiy, Medical Assessment for residents#1- 6 (R1-R6), and physical plant tour.

SEE 9099-c

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2026

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-20260310082758

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: JASMINE'S HOME CARE	FACILITY NUMBER: 197606644
	VISIT DATE: 04/18/2026

NARRATIVE

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The investigation revealed the following: regarding the allegation “Facility staff are not meeting resident diapering needs.” It is alleged the facility staff are not assisting R1 with diapering needs. Three (3) out of the three (3) staff interviewed denied the allegation. Four (4) out of the six (6) residents interviewed denied this allegation. Due to cognitive impairments, R2’s interview was not reliable. Staff interviews revealed that all residents that require assistance with toileting are checked on every 2 hours or sooner if the resident request assistance. S1 revealed that R1 does not require assistance with toileting per their medical assessment. S2 revealed that R1 asks for assistance with toileting and staff assist R1 with toileting. During record review of R1’s medical assessment, LPA observed that per R1’s physician, R1 does not require assistance with toileting, does not suffer from bowel or bladder incontinence. 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.

“Staff do not treat resident with dignity or respect.” It is alleged that staff do not treat R1 with dignity or respect. Three (3) out of the three (3) staff interviewed denied the allegation. Four (4) out of the six (6) residents interviewed denied this allegation. Due to cognitive impairments, R2’s interview was not reliable. Resident interviews with R3- R6 revealed that staff treat residents with respect and are professional. During record review of personnel records. LPA did not observe disciplinary records that indicate staff were reprimanded for not treating residents with dignity or respect. Interview with R2’s family revealed that R2’s family is in the facility every day for several hours and they have never heard staff being disrespectful to any residents. R2’s family revealed R1 and R2 are roommates and they have witnessed interactions between R1 and staff and those interactions have always been professional. 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. Exit interview was conducted. A copy of this report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2026

LIC9099 (FAS) - (06/04)

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