197607612-7-24-2026-28-AS-FFIS-DWMUHL-20260804153608

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197607612
Report Date: 07/24/2026
Date Signed: 07/24/2026 04:34:55 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
04/30/2026 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260430093322

FACILITY NAME:	MONACO CREST GUEST HOME		FACILITY NUMBER:	197607612
ADMINISTRATOR:	CARINA DEMMAN		FACILITY TYPE:	740
ADDRESS:	15225 METROPOL DRIVE		TELEPHONE:	(562) 693-9470
CITY:	HACIENDA HEIGHTS	STATE: CA	ZIP CODE:	91745
CAPACITY:	6	CENSUS: 6	DATE:	07/24/2026
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Carina Demman, licensee		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff hit resident.
Resident sustained an injury due to staff neglect or physical abuse.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the investigation regarding the allegations listed above. LPA met with licensee, Carina Demman, and explained the purpose of the visit.

During the initial visit on 5/5/26, LPA collected a copy of the resident roster and interviewed the Administrator, Staff #1-#2, and two (2) residents. LPA interviewed two (2) more residents today.

The investigation revealed the following:
Allegation – Staff hit resident. It is alleged that a staff hit Resident #1 (R1). LPA interviewed three (3) staff, and all three (3) denied hitting the resident(s). Staff stated that Staff #1 (S1) was changing and cleaning R1 when R1 struck S1 on the temple of the face. S1 did not retaliate or hit back.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

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-20260430093322

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: MONACO CREST GUEST HOME	FACILITY NUMBER: 197607612
	VISIT DATE: 07/24/2026

NARRATIVE

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S1 finished cleaning R1 and left the room. Staff interviewed stated they have never seen a staff hit a resident. LPA interviewed four (4) residents, and none had seen staff hit a resident. Residents stated the staff treat them well.

Allegation – Resident sustained an injury due to staff neglect or physical abuse. It is alleged that Resident #1 (R1) fell and sustained a skin tear due to staff neglect. Staff stated that in the early morning on 4/8/26, R1 fell and had a skin tear. Staff checked on R1 around 4 am and found the resident on the floor. Staff reported the incident to the family member who took R1 to the doctor. According to staff, R1 did not ask for assistance while residing at the facility. Staff would often check on R1 and offer to assist R1 with the activities of daily living (ADLs); however, R1 declined most of the time. R1 did things himself/herself such as dressing and toileting. Staff were able to assist the resident with showers and cleaning the room with permission. Interviews with residents revealed that staff check on them, assist them with ADLs, and have never been injured due to staff neglect.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted with the licensee. A copy of this report, along with the appeal rights, was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

LIC9099 (FAS) - (06/04)

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