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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600947
Report Date: 12/12/2025
Date Signed: 12/12/2025 03:44:22 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
12/05/2025 and conducted by Evaluator Sanjay Vaid
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251205101311
FACILITY NAME:JAMERIKA HOME CARE, INC.FACILITY NUMBER:
198600947
ADMINISTRATOR:FERRER, AMALIA A.FACILITY TYPE:
735
ADDRESS:5025 BURNABY DRIVETELEPHONE:
(626) 732-2912
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY:6CENSUS: 6DATE:
12/12/2025
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Administrator- Amalia FerrerTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff yell at clients.
Staff did not protect the client's personal rights.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Vaid conducted a 10-day intial visit and was allowed entry by Marilyn Medoza and Conrado Simbaon- Developmental Service Person. Administrator -Amalia Ferrer was notified and arrived shortly after and discussed the above mentioned allegations. LPA Vaid and Ferrer conducted tour of the facility and did not observe any health or safety concerns.

LPA Vaid requested, obtained and reviewed Client#1- client #6 (C1-C6) facesheets/ Identification. Clients day programs and contact information.

The investigation revealed the following:

Continued on 9099C................
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
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-20251205101311
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: JAMERIKA HOME CARE, INC.
FACILITY NUMBER: 198600947
VISIT DATE: 12/12/2025
NARRATIVE
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Regarding the allegation: Staff yelled at clients. It is alleged that staff yell at clients and other staff did not intervene. Three (3) of three (3) staff interviewed stated they do not yell at the clients. Staff will raise tone in voice to direct and redirect clients, staff stated they will use positive affirmations and communicate in a loud but calm voice. Four (4) of six (6) clients interviewed could not corroborate this allegation. Based on interviews conducted, 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.


Regarding the allegation: Staff are not protecting clients personal rights. It is alleged the staff are not protecting clients’ personal rights when other staff yell at clients’. Three (3) of three (3) staff interviewed stated they have never had to intervene during interactions with clients and other staff people. Three (3) of three (3) staff interviewed stated they are mindful of the clients and keep them safe and protected from harm. Staff stated they always keep the client’s safety first most. Four (4) of six (6) clients interviewed stated that the staff keep them comfortable and safe, and use positive affirmations when speaking to them and do not yell at them or allow other people to speak rudely towards the clients. Based on interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

A copy of this report was provided to Administrator Amalia Ferrer.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2