198320460-5-4-2026-11-AS-PMAA-DU8L87-20260519083128

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320460
Report Date: 05/04/2026
Date Signed: 05/04/2026 03:41:16 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2026 and conducted by Evaluator Zina Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260427143801

FACILITY NAME:	MOUNTAIN TOP - E. SILVA		FACILITY NUMBER:	198320460
ADMINISTRATOR:	JOLINE DUENAS		FACILITY TYPE:	737
ADDRESS:	1910 E. SILVA STREET		TELEPHONE:	(760) 218-4293
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90807
CAPACITY:	4	CENSUS: 3	DATE:	05/04/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Glenda Ryles (Assistant Administrator )		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff are not following proper food sanitation practices
Staff do not provide adequate food service

INVESTIGATION FINDINGS:

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On 05/04/2026 at 8:45am, the Department of Social Services conducted an initial complaint visit to the facility list above to initiate the investigation. The Department met with Glenda Ryles (Assistant Administrator), and the purpose of the visit was explained.

The investigation consisted of the following: On 05/04/2026, the department conducted interviews with Adminstrator (A1) Staff (S1 - S5), Clients (C1 - C3) and obtained the following documentation: staff roster (dated 04/01/2026), weekly staff schedules for (05/03/2026–05/09/2026 & 05/10/2026 - 05/14/2026), client roster (dated 11/25/2025), and C1’s records including the Admission Agreement (dated 06/06/2025), 7-day facility report (dated 06/12/2025), LIC 602 Physician’s Report (dated 08/02/2024), LIC 613 Personal Rights (dated 06/06/2025), facility menus for (Weeks 1–4), C1’s 30-day facility report (dated 07/17/2025), and monthly Individual Behavior Support Plan (IBSP) dated (02/08/2026, 03/08/2026, 04/06/2026).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

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 11-AS-20260427143801

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: MOUNTAIN TOP - E. SILVA	FACILITY NUMBER: 198320460
	VISIT DATE: 05/04/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff are not following proper food sanitation practices.
It was alleged that on or around 04/24/2026, a partially eaten sandwich from the previous day was found in a client’s lunch container inside their backpack. The container had not been cleared or cleaned, and the food showed visible deterioration consistent with being left overnight.

On 05/04/2026 between 12:22pm - 12:31pm, the Department interviewed Administrator (A1). A1 denied the allegation and stated that morning shift staff prepares and pack C1’s meals while evening staff remove and clean containers. A1 reported being informed of the incident by C1’s guardian and stated that the facility apologized and implemented a new procedure, including an in-service training for staff. A1 stated that the sanitation protocol requires staff to remove the lunch pail from C1’s bag, discard leftover food, clean containers, and empty trash, and denied any prior similar incidents.

On 05/04/2026 between 8:55am - 10:53am, the Department interviewed five (5) staff members regarding the allegation. 5 out of 5 staff denied the allegation. Staff generally reported that lunch containers are emptied and washed daily, that leftover food is discarded, and that staff follow a routine process for preparing and cleaning C1’s lunch items. Staff also reported that the facility implemented a communication exchange form and a drop-off checklist to improve documentation and communication with the day program.

On 05/04/2026 between 9:41am - 9:51am, the Department interviewed three (3) clients. 1 out of 3 client did not confirm nor deny the allegation due not answering whether staff cleans their lunchbox. 2 out of 3 clients denied the allegation and did not have any spoiled food or experiencing sanitation issues.

On 05/04/2026 between 1:45pm - 2:30pm, the Department conducted a records review and observed the following: The Department received and observed a photo a food container holding a partially eaten sandwich, that uneaten food remaining in a client’s lunch container after returning from the day program but no deterioration of the sandwich appeared in the photo . As a result of this, the facility uses a “Client Drop-Off Check Form,” which requires staff to check backpacks upon arrival, remove food items, and document uneaten food. Also upon further observation food storage areas including refrigerators, pantry shelves, and snack storage. Food items were stored in sealed containers, and clients have access to fruit, snacks, bread, and lunch components. The Department observed wash containers, and staff following menu based meal preparation at 11:04am on 05/04/2026.

Unsubstantiated: Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260427143801

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: MOUNTAIN TOP - E. SILVA	FACILITY NUMBER: 198320460
	VISIT DATE: 05/04/2026

NARRATIVE

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Allegation: Staff do not provide adequate food service.
It was alleged that over several weeks, the quality and quantity of a client’s meals had declined, that lunches consisted only of a sandwich, that portion sizes were reduced, that food preparation was sloppy, and that fruit and snacks were inconsistently provided.

On 05/04/2026 between 12:22pm - 12:31pm, the Department interviewed Administrator (A1). A1 denied the allegation and stated that a dietitian creates the menu and morning staff prepare C1’s lunch. A1 stated that C1 is allowed to choose preferred foods and that no concerns had been reported by the day program to the facility. A1 stated that the facility ensures C1 receives meals, snacks, and fluids and that C1’s guardian mentioned soggy sandwiches but did not provide a specific date(s) of when the day program notified C1's guardian about this matter.

On 05/04/2026 between 8:55am - 10:53am, the Department interviewed five (5) staff members regarding the allegation. 5 out of staff denied the allegation. Staff generally reported that C1 receives a sandwich, fruit, snack, and water daily, that portions follow the menu, and that snacks are consistently provided. Staff stated that changes to food items were based on doctor recommendations or C1’s preferences, and also that C1’s guardian provides additional snacks such as popcorn and nuts. One staff reported that C1’s guardian prefers that C1 receives traditional cultural food options, such as Indian food, based on C1’s culture/ethnicity. However, staff stated that C1 does not always want these cultural food options when offered at times.

On 05/04/2026 between 9:41am - 9:51am, the Department interviewed three (3) clients. 3 out of 3 clients denied the allegation and reported receiving enough food. One (1) client stated that lunches had changed recently but did not report reduced quantity. Two (2) clients stated that meals were consistent and satisfactory.

On 05/04/2026 between 1:45pm - 2:30pm, the Department conducted a records review and observed that the facility maintains menu-based meal planning and documentation of meals provided. Facility menus for Weeks 1–4 showed balanced meals with fruit, snacks, and beverages. Food storage areas contained bread, fruit, vegetables, snacks, rice cakes, pudding cups, and protein bars. Refrigerators contained fresh produce, leftovers, condiments, and beverages. According to Individual Behavior Support Plan (IBSP) dated 04/06/2026 on page 20 states C1 selects and eats a snack of their choosing, once a week on the day of choosing C1 will be able to go to the store to purchase own drink of choosing. For dinner C1 participates in dinner routine - seated and eating. Also according to LIC 602 dated 08/02/2024 its checked no for no special diet.

Report continues on LIC 9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20260427143801

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: MOUNTAIN TOP - E. SILVA	FACILITY NUMBER: 198320460
	VISIT DATE: 05/04/2026

NARRATIVE

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Unsubstantiated: Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted with Glenda Ryles (Assistant Administrator) and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

LIC9099 (FAS) - (06/04)

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