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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601069
Report Date: 10/02/2025
Date Signed: 10/02/2025 12:26:53 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
09/26/2025 and conducted by Evaluator Christian Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250926104535
FACILITY NAME:BONNIE'S GUEST HOUSE INC.FACILITY NUMBER:
198601069
ADMINISTRATOR:ALVARADO, DESIREEFACILITY TYPE:
735
ADDRESS:135 NORTH BONNIE AVENUETELEPHONE:
(626) 440-0494
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:15CENSUS: 15DATE:
10/02/2025
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Silvina Gomez StaffTIME COMPLETED:
12:41 PM
ALLEGATION(S):
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Staff did not provide resident with adequate laundry services.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced complaint investigation regarding the above allegations. LPA was met by staff Silvina Gomez and explained the purpose of the visit. Administrator Desiree Alvarado was notified by telephone.

The investigation consisted of the following: LPA Gutierrez requested and obtained copies of staff roster, client roster, C1’s identification and emergency information, physicians report, and appraisal needs and service plan. LPA interviewed Administrator by telephone, staff 1-2 (S1-S2) in person, and clients 1–5 (C1-C5). Tour of the laundry room was conducted

SEE 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
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-20250926104535
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: BONNIE'S GUEST HOUSE INC.
FACILITY NUMBER: 198601069
VISIT DATE: 10/02/2025
NARRATIVE
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In regard to the allegation” Staff did not provide resident with adequate laundry services.”, it is alleged that staff turns off water while washer is in progress with clients’ clothes. During interviews with Administrator and staff three (3) out of three (3) stated that this never happened. Administrator stated that C1 has been non-med compliant and this has been causing a lot of issues with things being made up. Police have been called on multiple occasions about the washing machine. During record review of Appraisal/ Needs and Services Plan dated 1/22/25 listed under Background Information states that Client C1 has struggled hearing voices and accuses roommates of imaginary actions and becomes very aggressive. During interviews with clients three (3) out of the five (5) stated that staff never turned water off while they are washing clothes. C4 stated that he/she does not do laundry here and goes to family’s house. C1 stated that he/she has never witnessed water being shut off, but clothes are not clean.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and a copy of this report was emailed to Administrator due to LPA having printer problems.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
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