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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601257
Report Date: 02/10/2026
Date Signed: 02/10/2026 06:20:20 PM

Substantiated


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
02/03/2026 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260203101352
FACILITY NAME:CLIMB, INC. - ARF 5FACILITY NUMBER:
198601257
ADMINISTRATOR:TERRY DEL MUNDOFACILITY TYPE:
735
ADDRESS:3626 BROOKLINE AVE.TELEPHONE:
(626) 289-5321
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:6CENSUS: 4DATE:
02/10/2026
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mauricio Desales, DSPTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff mishandled the clients' medications.
Staff have inadequate record keeping for the clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation for the allegations listed above. LPA arrived unannounced and met with Staff, Mauricio DeSales. The purpose of the visit was explained. Administrator, Terry Del Mundo, arrived shortly after.

LPA obtained copies of the staff and client rosters, toured the facility, and reviewed medications for all four (4) clients. LPA also interviewed the administrator, three (3) care staff, and one (1) client. A copy of the Regional Center Corrective Action Plan (CAP) was obtained and reviewed.

Allegation - Staff mishandled the clients’ medications. It is alleged that one of the clients’ medications was not administered. The administrator confirmed that there was a medication error that occurred on 1/13/26 for Client #1 (C1), in which the medication named Lubiprostone 24 MCG was not administered.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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-20260203101352
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: CLIMB, INC. - ARF 5
FACILITY NUMBER: 198601257
VISIT DATE: 02/10/2026
NARRATIVE
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The medication remained in the bubble pack as also verified by the regional center specialist and the Regional Center Corrective Action Plan was issued. During the visit today, LPA reviewed four (4) clients’ medications and there were no discrepancies found. Two (2) out of the three (3) care staff stated they are administering the medications as prescribed. The other staff is currently not passing out medications. Based on information gathered, the allegation is deemed substantiated.

Allegation - Staff have inadequate record keeping for the clients. It is alleged that the staff signed off on the Medication Administration Record (MAR) as given when the client was in day program. The administrator confirmed that Client #1 (C1) medication (Deep Sea Nasal Spray) was not taken with C1 to the day program on 1/14/26. During a visit from the regional center specialist, it was discovered that the MAR log for the nasal spray was marked as given for the 12pm dose. However, the client was not present at the facility and therefore, the medication could not have been administered. Two (2) out of the three (3) care staff stated they initial as they are administering the medications. This allegation is deemed substantiated.


Based on interviews conducted, and record review, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 1), are being cited on the attached LIC 9099D.

An exit interview was conducted. The Plan of Corrections were reviewed and developed with the administrator. A copy of this report and appeal rights were provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20260203101352
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: CLIMB, INC. - ARF 5
FACILITY NUMBER: 198601257
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/11/2026
Section Cited
CCR
80075(b)
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80075 Health Related Services (b) Clients shall be assisted as needed with self-administration of prescription and nonprescription medications.
This requirement is not met as evidenced by:
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The administrator shall provide a plan to ensure staff are retrained on medication and submit to LPA by 2/11/26.

**The plan was submitted during the visit and the POC is cleared.***
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Based on record review and interview, the medication for C1 was not administered as prescribed which posed an immediate health and safety risk to clients in care.
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Type A
02/11/2026
Section Cited
CCR
80065(a)
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80065 Personnel Requirements (a) Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs.
This requirement is not met as evidenced by:
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The administrator shall provide a plan to ensure staff are documenting medication when given and submit to LPA by 2/11/26.

**The plan was submitted during the visit and the POC is cleared.***
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Based on record review and interview, staff inaccurately initialed the MAR log as given which poses an immediate health and safety risk to clients 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: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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
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
02/03/2026 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260203101352

FACILITY NAME:CLIMB, INC. - ARF 5FACILITY NUMBER:
198601257
ADMINISTRATOR:TERRY DEL MUNDOFACILITY TYPE:
735
ADDRESS:3626 BROOKLINE AVE.TELEPHONE:
(626) 289-5321
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:6CENSUS: 4DATE:
02/10/2026
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mauricio Desales, DSPTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
2
3
4
5
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7
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9
Staff did not properly safeguard harmful materials in the facility.
INVESTIGATION FINDINGS:
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5
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7
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12
13
Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation for the allegations listed above. LPA arrived unannounced and met with Staff, Mauricio DeSales. The purpose of the visit was explained. Administrator, Terry Del Mundo, arrived shortly after.

LPA obtained copies of the staff and client rosters, toured the facility, and reviewed medications for all four (4) clients. LPA interviewed the administrator, three (3) Staff, and one (1) client. A copy of the Regional Center Corrective Action Plan was obtained and reviewed.

Allegation - Staff did not properly safeguard harmful materials in the facility. It is alleged that the drawers in which sharp objects are kept and the sink base cabinet where cleaning supplies are located were both left unlocked. LPA interviewed the administrator and three (3) staff for this allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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-20260203101352
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: CLIMB, INC. - ARF 5
FACILITY NUMBER: 198601257
VISIT DATE: 02/10/2026
NARRATIVE
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Staff stated they always lock the drawers and cabinets where the medications, sharps, and cleaning products are kept. Administrator acknowledged that the storage cabinet for the sharps was not fully locked due to staff cleaning, but no clients were home during that time. It was confirmed by the regional center specialist during their visit that there was no presence of clients at the facility. LPA toured the facility and observed all cleaning supplies and sharps locked.

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.

An exit interview was conducted with the administrator. A copy of this report, along with the appeal rights, was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5