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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609483
Report Date: 07/26/2025
Date Signed: 07/26/2025 10:56:59 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/04/2025 and conducted by Evaluator Tihesha Smith
COMPLAINT CONTROL NUMBER: 31-AS-20250404105145
FACILITY NAME:GRANDEURFACILITY NUMBER:
197609483
ADMINISTRATOR:JOEY S. PEREZFACILITY TYPE:
735
ADDRESS:2463 GRANDEURTELEPHONE:
(626) 314-2064
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY:0CENSUS: 4DATE:
07/26/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Cindy Garcia, AdministratorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff inappropriately restrained client
INVESTIGATION FINDINGS:
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Due to the destruction of Grandeur Adult Residential by fire, the associated complaint report was delivered to Ventura Adult Residential, a sister facility under the same ownership by Licensing Program Analyst (LPA) Tihesha Smith. LPA Smith met with Administrator Cindy Garcia and disclosed the purpose of the visit.

On 02/27/25 due to circumstances surrounding Eaton Fire-Disaster, LPA conducted an initial virtual visit. LPA met with the Co-Administrators and gathered information pertinent to allegation. On 06/03/2025, LPA Alvizar-Ettima conducted collateral at Airbnb home located 847 N. Rimhurst Ave. Covina, CA 91724. At 9:30am LPA met and spoke with DSP staff present at the Airbnb and at 9:45am contacted Co-Administrator Cindy Garcia via telephone. In addition, at 10:00am LPA was able to speak with a client #1 (C1). Due to the facility burning down to the ground, LPA was unable to gather C1 records. However, prior to this visit on 07/10/25 LPA Antonia Alvizar-Ettima was able to review copies of C1’s records previously gathered from the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2025
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 31-AS-20250404105145
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: GRANDEUR
FACILITY NUMBER: 197609483
VISIT DATE: 07/26/2025
NARRATIVE
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(cont from 9099)


It was alleged Staff inappropriately restrained client, specifically that while staff #1 (S1) tried to calm (C1) down by using CPI hold, S1 put his knee on C1’s neck. LPA interviewed C1 verified that they had verbal altercation but was unable to provide details. LPA interview S1 via phone and they denied restraining C1. Co- Administrator and staff interviews reveal that staff did not make verbal threats or physically harm C1 or other clients. Staff reported that C1 frequently exhibits threatening behavior toward others and has attempted to physically assault staff. The information received from S1 was supported by the information received from other staff and co-administrators. During the investigation, LPA did not observe staff interacting with clients in an inappropriate manner. Other clients present at the facility denied being restrained by the facility staff.

Based on interviews, observation, and record review, although the alleged incident may have happened, there is insufficient information to conclude that “Staff inappropriately restrained client”. Therefore, the allegation was deemed UNSUBSTANTIATED at this time.

No health and safety hazards were noted during this visit.

Exit interview conducted/copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2