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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197801985
Report Date: 02/05/2026
Date Signed: 02/05/2026 06:17:12 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
01/29/2026 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260129122902
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:
02/05/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Alice Bautista, StaffTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff are not meeting client's showering needs.
Staff did not ensure client had clean clothes.
Staff did not ensure client was taken to appointments.
Staff did not ensure client was given the P&I funds.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation on the allegations listed above. LPA arrived unannounced and met with Staff, Alice Bautista. The reason for the visit was explained.

LPA obtained a copy of the client roster and reviewed documents for Client #1. Interviews were held with Staff #1 - #3, Clients #1 - #8, and a family member.

Allegation – Staff are not meeting client's showering needs. LPA conducted interviews with staff and clients for this allegation. Per the staff, the clients are able to shower themselves and will supervise them if needed. Staff provide reminders and prompting for those who are resistant to showering. Staff stated they cannot force the clients to shower, but they will encourage them to keep up with good hygiene. Seven (7) out of the eight (8) clients stated they shower themselves, and one (1) showers with the assistance of staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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-20260129122902
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: LOVE N CARE GUEST HOME
FACILITY NUMBER: 197801985
VISIT DATE: 02/05/2026
NARRATIVE
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Allegation - Staff did not ensure the client had clean clothes. Staff interviewed stated that the clients are independent and can do their own laundry. The facility has set laundry days, and the clients normally wash their clothes that day. Staff will remind clients to wash their clothes weekly and will assist them if needed. LPA interviewed eight (8) clients. All of the clients stated they have clean clothes, and they do their laundry weekly.

Allegation - Staff did not ensure the client was taken to appointments. Staff interviewed stated that the doctor comes to the facility once a month to check on six (6) out of the eight (8) clients. Two (2) of the clients are taken to their doctors’ appointments either by their case worker or their family members. One of the staff stated that either staff will personally transport the other clients or arrange for Uber to transport them to their medical appointments. LPA interviewed eight (8) clients. Seven (7) out of eight (8) clients stated that if they need to attend any medical appointments, either their social worker or Uber will provide the transportation to the doctor’s office. One (1) stated that the facility does not provide or arrange transportation to their medical appointments.

Allegation - Staff did not ensure client was given P&I funds. According to the staff, they are handling the Personal and Incidental (P&I) funds for two (2) out of the eight (8) clients. The clients are given their P&I money when requested and will sign out for their money. The facility does not handle any cash resources for Client #1. LPA confirmed with the family member who is the client’s payee. LPA interviewed eight (8) clients. Two (2) of the clients are given their P&I money when requested. The rest of the clients’ funds are managed by themselves or their payees.

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 Staff I. Smith. 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: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2