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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600581
Report Date: 07/24/2025
Date Signed: 07/24/2025 02:49:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
07/22/2025 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250722163649
FACILITY NAME:HOMES FOR LIFE FOUNDATION-HFL CEDAR STREET HOMEFACILITY NUMBER:
198600581
ADMINISTRATOR:VIDA ANDRADEFACILITY TYPE:
735
ADDRESS:11401 BLOOMFIELD, BLDG.305-307TELEPHONE:
(562) 207-9660
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:38CENSUS: 34DATE:
07/24/2025
UNANNOUNCEDTIME BEGAN:
11:34 AM
MET WITH:Vida Andrade - AdministratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff discriminating against resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced complaint visit to investigate the above allegation. LPA met with Administrator Vida Andrade and explained the purpose of today's visit.

The invsestigation consisted of the following:

LPA obtained copies of staff/resident rosters, Client #1 (C1) physician report, last 3 months of the Medication Administration Record (MAR), contact information for Veterans Affairs (VA), LPA interviewed 4 staff (S1-S4) and 5 clients (C2-C6).

(continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
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-20250722163649
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: HOMES FOR LIFE FOUNDATION-HFL CEDAR STREET HOME
FACILITY NUMBER: 198600581
VISIT DATE: 07/24/2025
NARRATIVE
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The investigation revealed the following:
Allegation: Staff discriminating against resident.
It is alleged that staff are withholding C1 from being able to live independently, as C1 is no longer conserved and is believed that C1 should be able to discharge from facility and be granted release of their full VA benefits. LPA interviewed 5 staff and 5 out of 5 staff denied the above allegation. Interview with S2 revealed that since C1’s release of conservatorship 7/7/25, the client has regressed and their plan for post discharge is not a solid plan that gives both S2 and C1’s psychiatrist full confidence that C1 is ready, as this document to be signed is putting their credentials on the line its imperative that they are completely confident that C1 is fully ready to move forward. Interviews with 4 staff and review of the MAR revealed that C1 has multiple missed/refused medications in the past 3 months a total of 9 medications have been missed/refused from May-July 2025. LPA spoke with VA operators and it was confirmed that in order for an individual to be released from a Fiduciary Program (which C1 is a part of), a letter of competency will need to be received and has to be signed by a licensed doctor (behavioral health doctor) and must be provided with supporting medical documents that clearly indicate this individual is ready to be released from the program. LPA interviewed 5 clients and 5 out of 5 clients denied the above allegation and stated that although it may take time for the discharge process they don’t feel that staff are preventing them from moving forward and living elsewhere, its merely a matter of paperwork, getting funds released and finding placement.

Based on statements and interviews conducted with staff/clients, and review of client files, there was not enough supportive evidence to concur with the reported 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 held, and a copy of this report was emailed to vandrade@homesforlife.org.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2