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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600271
Report Date: 06/26/2025
Date Signed: 06/26/2025 12:35:28 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
06/23/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250623103624
FACILITY NAME:HAMILTON VILLAFACILITY NUMBER:
198600271
ADMINISTRATOR:ADELA SANTOSFACILITY TYPE:
735
ADDRESS:948 SOUTH HAMILTON BLVD.TELEPHONE:
(909) 620-1933
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY:84CENSUS: 59DATE:
06/26/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Adela SantosTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not provide client appropriate supervision resulting in client looking into neighbors windows
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an initial visit to investigate the above allegation. LPA met with Adela Santos (Administrator) and discussed the purpose of today’s visit.

During this investigation, LPA obtained a copy of the staff and client rosters, interviewed Administrator, Staff #1 (S-1) through Staff #3 (S-3), interview Client #1 (C-1) through Client #6 (C-6) and reviewed C-1’s file and obtained relevant documentation.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2025
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 2
Control Number 28-AS-20250623103624
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: HAMILTON VILLA
FACILITY NUMBER: 198600271
VISIT DATE: 06/26/2025
NARRATIVE
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Allegation: Staff did not provide client appropriate supervision resulting in client looking into neighbors windows. It has been alleged that staff did not provide appropriate supervision resulting in a client looking into neighbor’s windows. (1) of out (4) staff interviews revealed that on 06/17/25, a neighbor reported that a client (description of the client was provided) was inside of their yard. Interviewed staff indicated that they have not received any complaints pertaining to this matter prior to 06/17/25. Interviewed staff indicated that they have not observed C-1 entering any neighbors’ homes. Interviewed staff indicated that C-1 is able to leave this facility independently (per C-1’s physician report, C-1 is able to leave the facility unassisted). Per staff interviews, on-shift staff are awake on all shifts and provide care and supervision. Interviewed staff indicated that since this allegation was reported, they have spoken to C-1 about the importance of not entering private properties. Interviewed clients indicated they are able to leave this facility independently. Client interviews revealed that they do not enter the neighbors’ homes. Interviewed clients indicated they have not observed any clients entering neighbors’ properties. Staff and client interviews do not corroborate this 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, a copy of the report and appeal rights was provided to Adela Santos.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2