198600417-3-2-2026-28-AS-FFIS-DST37V-20260403180035

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600417
Report Date: 03/02/2026
Date Signed: 03/02/2026 05:10:26 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
02/26/2026 and conducted by Evaluator Elena Mallett

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260226082715

FACILITY NAME:	HIGHDALE HOME		FACILITY NUMBER:	198600417
ADMINISTRATOR:	MARILYN M. PAGUIO		FACILITY TYPE:	735
ADDRESS:	12013 HIGHDALE STREET		TELEPHONE:	(562) 929-8371
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	4	CENSUS: 4	DATE:	03/02/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Administrator-Juanito Paguio		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff does not prevent resident from being verbally abused by another resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced complaint investigation and met with Staff in charge. LPA discussed the reason for the visit which was to investigate the allegation listed above. Staff phoned Administrator and Administrator Juanito Paguio joined the visit shortly after.

The investigation consisted of the following: On today’s visit, LPA Mallett obtained the current client and staff roster and toured the physical plant and did not observe any health and safety concerns. LPA obtained C1’s physician’s report, C1's Medicine Log for 10/25-03/26 , Direct Service Provider Training for Staff (S1-S6),C1's current IPP, C2's IPP from 07/10/2024, Behaviorial Services Report for C1 from 12/15/25,Record of visits to the facility by Behaviorist for C1 from 12/25-02/27/26, Staff Training Log on the Importance of Respect from 02/28/26 and Staff notes on C1 from 02/13/26-02/24/26. Interviews were conducted with four clients in care and with the Administrator ,six caregivers and a Regional Center Service Coordinator.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026

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 28-AS-20260226082715

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: HIGHDALE HOME	FACILITY NUMBER: 198600417
	VISIT DATE: 03/02/2026

NARRATIVE

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Allegation: Staff does not prevent resident from being verbally abused by another resident. Per Reporting Party and staff interviews with the Administrator and six out of six staff it was revealed that Client one (C1) has verbally fought with Client two (C2) on three occasions in the last four months. Four out of four client interviews revealed that C1 has verbally fought with C2 on three occasions in the last four months. The Administrator and six out of six staff interviewed revealed that staff intervenes immediately when these incidents occurred. Four out of four clients report that staff intervenes immediately when these incidents occurred. All interviewed stated staff is trained to redirect C1 and separate clients when this occurs. Four out of four clients interviewed confirmed redirection and separation is practiced by staff when verbal arguments between clients occur. Interview with Administrator and six out six staff revealed that C1 and C2 eat most meals separately and engage in most activities separately which also minimizes chances for verbal confrontation. All clients in facility have private rooms to ensure personal space. Staff interviews and record reviews revealed that facility has a behaviorist whose recommendations are followed on how to address verbal arguments that arise with clients. Records review revealed C1 has a current IPP to guide staff interaction. Staff 1-6 are shown by records review to have Direct Service Provider training that includes training about Personal Rights of clients. The investigation did not reveal a preponderance of 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.

LPA Mallett conducted an exit interview with Administrator Juanito Paguio and a copy of this Licensing report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026

LIC9099 (FAS) - (06/04)

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