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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197803078
Report Date: 07/03/2025
Date Signed: 07/03/2025 12:27:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/26/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250626185654
FACILITY NAME:SAN GABRIEL VALLEY TRAINING CENTERFACILITY NUMBER:
197803078
ADMINISTRATOR:VIVIAN SISONFACILITY TYPE:
740
ADDRESS:339 S. COVINA BLVD.TELEPHONE:
(626) 369-3398
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:12CENSUS: 12DATE:
07/03/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Vivian SisonTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff are inappropriately locking the facility refrigerators from the clients
Staff are mishandling the clients personal funds
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted the initial complaint visit regarding the allegations listed above. LPA arrived unannounced and met with Staff S #2. The purpose of the visit was explained.

LPA obtained copies of the resident and staff rosters. LPA toured the kitchen, dining room, and Resident Rooms 4, 6, 8.10 and 11.
Interviews were held with the Administrator telephonically, Staff #1 - #3, and Residents #1 - #5.
In regards to the allegation Staff are inappropriately locking the facility refrigerators from the clients, based on information gathered and interviews conducted it was revealed that a waiver was granted by Department of Social Services per California Code of Regulations, Title 22.
Resident's 1-5 all stated that they get all their meals and a snack. Said there are staff here and they can ask them for anything in specific they want. All stated that they can also go to small frig which is always open with snacks. Pantry is also open with a variety of snacks.

Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
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 4
Control Number 28-AS-20250626185654
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SAN GABRIEL VALLEY TRAINING CENTER
FACILITY NUMBER: 197803078
VISIT DATE: 07/03/2025
NARRATIVE
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Staff stated that there is 24 hour care and residents can always get foods they ask for. Said they are adequately staffed to supervise meal and snack times.
Stated that there is a small frig that has a variety of snacks.
Said there are accessible food storage areas adequately stocked.
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.

In regards to the allegation Staff are mishandling the clients personal funds, based on information gathered and interviews conducted Staff #S1 revealed that Resident # R1's money was never mishandled. The amount was $193.50 owed by Resident #R1 and that never changed. Stated that she inadvertently listed for Resident #R1 as April Rate portion and ARM (used to describe overall amenities provided). Said it should have only said April Rate portion (Rent).

Resident's #R1- #R5 all stated that their personal funds have never been mishandled and it has always gone smoothly.

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.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/26/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250626185654

FACILITY NAME:SAN GABRIEL VALLEY TRAINING CENTERFACILITY NUMBER:
197803078
ADMINISTRATOR:VIVIAN SISONFACILITY TYPE:
740
ADDRESS:339 S. COVINA BLVD.TELEPHONE:
(626) 369-3398
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:12CENSUS: 12DATE:
07/03/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Vivian SisonTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff are not affording the clients privacy
INVESTIGATION FINDINGS:
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In regards to the allegation Staff are not affording the clients privacy, based on interviews conducted and information gathered Administrator stated that only 1 resident Resident R #3 did not have a lock on the bathroom door.
Resident R #3 stated that there has never been a lock on his door since he has been here. Stated that he just recently got a lock on his bathroom door.
LPA toured Rooms 4, 6, 8, 10 and 11 which all had locks on the bathroom door which did work properly and locked the door for privacy.
It should be noted that San Gabriel Pomona Regional Center visited the facility on 06/18/2025 and observed that there was not a lock on the bathroom door for Resident R#3.
Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 6 are being cited on the attached LIC 9099D.
Exit interview was conducted
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 28-AS-20250626185654
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SAN GABRIEL VALLEY TRAINING CENTER
FACILITY NUMBER: 197803078
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2025
Section Cited
CCR
87468.1(a)(2)
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Personal Rights of Residents in all Facilities
Residents in all residential care facilities for the elderly shall have all of the following personal rights:
To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
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Facility to ensure by POC due date that resident rooms all have locks on their bathroom doors.

During tour of resident rooms LPA observed locks on the bathroom door.
Deficiency cleared.
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This requirement is not met as evidenced by:
Based on interviews conducted and tour of resident rooms licensee failed to have Resident R#3 be accorded safe, healthful and comfortable accommodations, furnishings and equipment with Resident R# 3 not having a lock on the bathroom door which posed a potential risk to residents in care.
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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.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4