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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197801985
Report Date: 11/13/2025
Date Signed: 11/13/2025 05:12:59 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
11/13/2025 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251113064315
FACILITY NAME:LOVE N CARE GUEST HOMEFACILITY NUMBER:
197801985
ADMINISTRATOR:BRILLANTES, HARRYFACILITY TYPE:
735
ADDRESS:11866 E. 162ND. ST.TELEPHONE:
(562) 404-7601
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:8CENSUS: 8DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Irene Smith - CaregiverTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Staff are storing expired foods.
Staff did not keep the facility free of insects.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced initial complaint visit to
investigate the above allegations. LPA met with Irene Smith and explained the purpose of
the visit, shortly after Administrator Luz Brillante arrived to assist with the visit.

The investigation consisted of the following:
LPA toured facility, inspected food supply, and conducted interviews with 2 Staff (S1-S2) and 6 Clients (C1-C6).

** During LPA's inspection of refrigerator LPA observed medication to be stored inside the fridge that were unlocked and accessible to clients, this will be cited today on a separate case management visit.

(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
11/13/2025 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251113064315

FACILITY NAME:LOVE N CARE GUEST HOMEFACILITY NUMBER:
197801985
ADMINISTRATOR:BRILLANTES, HARRYFACILITY TYPE:
735
ADDRESS:11866 E. 162ND. ST.TELEPHONE:
(562) 404-7601
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:8CENSUS: 8DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Irene Smith - CaregiverTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Staff are serving foods that are not of quality.
Staff made inappropriate comments in the presence of residents.
Staff did not keep the facility clean.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced initial complaint visit to
investigate the above allegations. LPA met with Irene Smith and explained the purpose of
the visit, shortly after Administrator Luz Brillante arrived to assist with the visit.

The investigation consisted of the following:
LPA toured facility, inspected food supply, and conducted interviews with 2 Staff (S1-S2) and 6 Clients (C1-C6).

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20251113064315
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LOVE N CARE GUEST HOME
FACILITY NUMBER: 197801985
VISIT DATE: 11/13/2025
NARRATIVE
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The investigation revealed:
Allegation: Staff are serving foods that are not of quality.
It is alleged that staff serve clients burned meals. LPA interviewed 2 staff and both staff denied the allegation and stated that they do not serve clients burned meals. LPA interviewed 6 clients and 5 out of 6 clients denied the above allegation and stated that they have not been served any meals that were of poor quality or burned.

Allegation: Staff was disrespectful or rude.
It is alleged that staff are rude and speak disrespectfully about clients in another language. LPA interviewed 2 staff and both staff denied the allegation and stated that although they sometime speak their native language, they have never used it to speak disrespectfully about the clients in cared. LPA interviewed 6 clients and 5 out of 6 clients denied the allegation and stated that although they do sometimes hear them speak a different language they do not feel that staff are speaking disrespectfully about them or other clients.
Allegation: Staff did not keep the facility clean.
It is alleged that staff do not clean out the refrigerator and freezers. LPA inspected the facility freezer and refrigerator and although LPA observed refrigerator was tightly packed LPA did not observe the refrigerator to be unclean. LPA interviewed 2 staff and both staff confirmed that the refrigerator/freezer is cleaned out at least once weekly. LPA interviewed 6 clients and 5 out of 6 clients denied the allegation and stated they do not feel the refrigerator/freezer is dirty.

Based on LPAs observations and statements and interviews conducted with staff/clients, there was not enough supportive evidence to concur with the reported allegations. 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. Exit interview held, and a copy of this report was provided.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 28-AS-20251113064315
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LOVE N CARE GUEST HOME
FACILITY NUMBER: 197801985
VISIT DATE: 11/13/2025
NARRATIVE
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The Investigation revealed the following:

Allegation: Staff are storing expired foods.
It is alleged that the facility has expired canned goods and moldy food in freezer and refrigerator. LPA inspected facility refrigerator and freezer and observed an opened canned good in refrigerator that was not properly stored, the top of the can was exposed and has sharp edges. LPA observed a bowl of fresh fruit on the kitchen counter and there were multiple fruit flies on fruit. LPA checked canned good pantry and observed at least 5-8 canned goods that were expired. LPA interviewed 2 staff and both staff stated they are aware of the expired canned food and stated they do not serve the expired food to the clients. LPA interviewed 6 clients and 3 out of the 6 clients confirmed that they have observed spoiled food or fruit in the facility.

Allegation: Staff did not keep the facility free of insects.


It is alleged that the facility has hornets and wasps. LPA toured the facility and observed 1 large beehive and 1 small beehive located on the awning of the facility just outside the clients bedroom doors/windows. Both staff interviewed confirmed they are aware of the beehives and Administrator stated that there is a scheduled service that is due next week and will address the beehive issue. LPA interviewed 6 clients and each stated they have observed the beehives and are aware that there are bees just outside their bedroom windows/doors.

Immediate Civil Penalties will be issued today, in the amount of $250.00 due to a repeat violation of regulation 80087(a)(1), that was previously cited on 10/7/25. Refer to LIC421IM.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC9099-D. Exit interview held, a copy of this report, POC Form LIC9098, appeal rights and Civil Penalty Assessment LIC421FC were provided.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20251113064315
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LOVE N CARE GUEST HOME
FACILITY NUMBER: 197801985
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/24/2025
Section Cited
CCR
80076(a)(1)
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80076 Food Services (a) In facilities providing meals to clients, the following shall apply: (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients. Each meal shall meet at least 1/3 of the servings recommended in the USDA Basic Food Group Plan - Daily Food Guide for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.
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Licensee/Administrator to remove the opened/exposed canned good from refrigerator and dispose of it (and no longer store exposed cans with sharp edges where clients can access), clean the bowl with fruit, clean the fruit and dispose of any spoiled fruits that may be causing the large amount of fruit flies and go through their food supply and remove all goods that are expired to avoid serving any expired foods to the clients. Photos of corrections must be emailed to LPA by POC due date.
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LPA observed an opened canned good in refrigerator that was not properly stored, the top of the can was exposed and has sharp edges, a bowl of fresh fruit on the kitchen counter and there were multiple fruit flies on fruit, and observed at least 5-8 canned goods that were expired.
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Type B
11/24/2025
Section Cited
CCR
80087(a)(1)
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80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. (1) The licensee shall take measures to keep the facility free of flies and other insects. This standard was not met as evidence by:
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Per Administrator there is a pest service scheduled for next week, Administrator to have pest control remove both beehives and provide LPA with a copy of the invoice and photos that indicate beehives were successfully removed by POC due date.
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LPA toured facility and observed 1 large beehive and 1 small beehive located on the awning of the facility just outside the clients bedroom doors/windows.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5