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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600265
Report Date: 07/18/2024
Date Signed: 07/18/2024 03:44:59 PM

Substantiated


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
07/12/2024 and conducted by Evaluator Sanjay Vaid
COMPLAINT CONTROL NUMBER: 28-AS-20240712154817
FACILITY NAME:ERNIE'S PLACEFACILITY NUMBER:
198600265
ADMINISTRATOR:GARCIA, NOEYFACILITY TYPE:
735
ADDRESS:630 N. NICHOLSONTELEPHONE:
(626) 280-7205
CITY:MONTEREY PARKSTATE: CAZIP CODE:
91755
CAPACITY:6CENSUS: 5DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Resident Administrator, Karen Gazon MarquezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff are financially abusing resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Vaid conducted an initial visit to investigate the above allegation. Today’s complaint investigation was conducted with Residential Administrator, Karen Gazon Marquez.

The investigation consisted of the following: LPA reviewed and obtained staff and client roster, P&I ledger for May 2024 and June 2024 for five (5) clients, obtained C1 records: Individual Program Plan (IPP), P&I ledgers, clients bank statements for May 2024 to July 2024. Face sheet, physician report (most recent LIC 602) and Facility Surety Bond. Monterey Park Police file # 24-24794, and APS Intake #976471. LPA obtained S1 termination letter. LPA conducted interviews with staff 1-5 (S1-S5). LPA interviewed clients 1 -5 (C-1 -C5). LPA Vaid conducted tour of the physical plant and did not observe any deficiencies or health and safety concerns.


Continued on 9099C...
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 3
Control Number 28-AS-20240712154817
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: ERNIE'S PLACE
FACILITY NUMBER: 198600265
VISIT DATE: 07/18/2024
NARRATIVE
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The investigation revealed the following. Regarding Allegation: Staff are financially abusing resident in care - It is alleged S1 made unauthorized purchased with C1 bank card on the dates of 6/3/24, 6/21/24 and 6/24/24 for the amounts $203, $63 and $23 respectively. These transactions were made without the knowledge of C1. The discovery of the missing funds was made on 07/11/24 by the Residential Administrator upon auditing clients P&I monies at the end of each month. There were no receipts to verify the mentioned transactions, from the caregiver S1 for the days and amounts listed. S1 was relieved of their duties as of 07/15/2024 and no longer works at the facility. Two (2) out of the five (5) staff interviewed confirmed this allegation. Interview with S1 confirmed this allegation and admitted to using the bank card of C1 at a gas station ATM, items bought are unknown. Interviews with S3-S5 were not aware of the ongoing investigation into the missing funds. Interviews with clients C1-C5 were not aware of this issue and have no knowledge. When the facility determined S1 had used C1 funds with verifying receipts, the facility terminated S1 on 07/15/2024. Facility residential manager confirms the theft had taken place during community outings with S1 and C1. Facility residential manager confirms the financial abuse by staff had occurred. Monies have not yet been returned to C1 by the facility and is in the process of returning the missing funds to C1.

Based on LPA's interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegation is found Substantiated. California Code of Regulations Title 22, Division 6, Chapter 1 are being cited on the attached LIC 9099D.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20240712154817
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: ERNIE'S PLACE
FACILITY NUMBER: 198600265
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/18/2024
Section Cited
CCR
80026(f)
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80026- Safeguards for Cash Resouces, Personal Property and Valuables of Residents-(f)- The licensee or the employee of a licensee shall not make expenditures from clients' cash resources for any basic services in these regulations, or for any basic service identified in a contract/admission
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Facility will conduct a P&I training with staff and submit to LPA signed staff participation, due 07/28/24.
Facility will submit to the Department missing funds replaced to C1 account.
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 between the client and the licensee. California Code of Regulations Title 22, Division 6, Chapter 1 are being cited.
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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: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3