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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600949
Report Date: 11/20/2025
Date Signed: 11/20/2025 04:49:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/19/2025 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251119090248
FACILITY NAME:CLIMB, INC. ARF#1FACILITY NUMBER:
198600949
ADMINISTRATOR:NGUYEN, JOHNFACILITY TYPE:
735
ADDRESS:1317 SOUTH GLADYS AVENUETELEPHONE:
(626) 571-2363
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY:6CENSUS: 4DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
02:49 PM
MET WITH:John NguyenTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Licensee does not ensure that staff are adequately trained.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted an initial 10-Day complaint visit to investigate the allegations listed above. The purpose of the visit was explained to Administrator John Nguyen.

The investigation consisted of: A physical plant tour of the home was conducted. A total of 2 staff were interviewed. Due to limited verbal ability or cognitive impairment residents were not interviewed. Staff file was reviewed. Copies of staff personnel file, LIC 500 Personnel Report, proof of DSP training, picture evidence of repaired door, and home improvement plans were obtained. Regional Center Corrective Action Plan was obtained.


*Report continues next page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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 5
Control Number 28-AS-20251119090248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: CLIMB, INC. ARF#1
FACILITY NUMBER: 198600949
VISIT DATE: 11/20/2025
NARRATIVE
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Allegation: Licensee does not ensure that staff are adequately trained. It is alleged a long term staff had not completed required 35-hour DSP training. Based on record review and interviews conducted the findings indicate staff (S3) was hired in April 20, 2021 under the Supportive Living Services Program, and began working at the facility on April 3, 2023. As of September 24, 2025 they had not completed the required training. File review was completed. The findings indicate the staff has completed licensee training, but did not complete the mandatory 35-hour DSP training within one year of their hire date. On September 28, 2025, staff (S3) successfully completed and passed the Year 1 35-hour Direct Support Professional Training Class. A Corrective Action Plan was obtained. The allegation is supported.

Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiency is cited according to California Code of Regulations, Title 22. See LIC 9099D.

An exit interview was conducted with Administrator John Nguyen. A copy of the report and appeal rights was issued.




SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20251119090248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: CLIMB, INC. ARF#1
FACILITY NUMBER: 198600949
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/20/2025
Section Cited
CCR
85096(h)(1)
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Initial Certification Training Program Vendor and Program Approval Requirements. The Adult Residential Facility Initial Certification Training Program shall consist of the following components: A minimum of thirty-five (35) classroom hours, as defined in Section 85001(c)(3), with the following uniform Core of Knowledge curriculum: This requirement was not met evidenced by:
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Administrator provided a copy of staff (S3's) completed Year 1 35-Hour Direct Support Professional Training Class issued on September 28, 2025.

*Citation was cleared during the visit.
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Based on record review, staff (S3) was hired on 4/20/2021, and as of 9/24/2025 they had not completed the mandatory Regional Center Year 1- 35- Hour Direct Support Professional Training Class, which poses a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/19/2025 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251119090248

FACILITY NAME:CLIMB, INC. ARF#1FACILITY NUMBER:
198600949
ADMINISTRATOR:NGUYEN, JOHNFACILITY TYPE:
735
ADDRESS:1317 SOUTH GLADYS AVENUETELEPHONE:
(626) 571-2363
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY:6CENSUS: 4DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
02:49 PM
MET WITH:John NguyenTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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2
3
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9
Licensee is not ensuring that facility is kept in good repair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted an initial 10-Day complaint visit to investigate the allegations listed above. The purpose of the visit was explained to Administrator John Nguyen.

The investigation consisted of: A physical plant tour of the home was conducted with special focus on exterior doors. A total of 2 staff were interviewed. Due to limited verbal ability or cognitive impairment residents were not interviewed. Staff file was reviewed. Copies of staff personnel file, LIC 500 Personnel Report, proof of DSP training, picture evidence of repaired door, and home improvement plans were obtained.


*Report continues next page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20251119090248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: CLIMB, INC. ARF#1
FACILITY NUMBER: 198600949
VISIT DATE: 11/20/2025
NARRATIVE
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Allegation: Licensee is not ensuring that facility is kept in good repair. The complaint alleges that a visit was conducted in September 2025 in which it was observed that the French doors located in the family room/kitchen area that lead to the backyard had not been repaired. According to information obtained, in March 2025, the disrepair in the exterior of the French doors was brought to the attention of facility Administrator, and a recommendation was made to have the door repaired. Administrator stated that the door was sanded and repaired in March 2025. In April 2025 the facility had a termite inspection whose report indicated there was termite infestation that required treatment. On September 10, 2025, Administration staff emailed the Regional Center and Community Care Licensing notification of termite treatment scheduled for the week of November 9- 14, 2025. The facility was tented for termite treatment from November 10, 2025- November 12, 2025. Facility improvements such as, termite treatment, outdoor repairs and indoor painting has been planned for approximately 1 year. The first course of action was the termite treatment. Licensee planned to paint the repaired door after the termite treatment and outdoor repair project. LPA obtained a picture taken of the door dated September 24, 2024, that shows the areas where there was termite damage had been repaired, with the exception of painting of the area. Licensing was aware that licensee was going to complete termite treatment and home improvements. Therefore, there is insufficient 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(s) did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted and a copy of the report was discussed and provided to John Nguyen.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5