198601302-2-17-2026-28-AS-LHIS-DRG2JF-20260219162615

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601302
Report Date: 02/17/2026
Date Signed: 02/17/2026 02:50:52 PM

Substantiated

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
02/09/2026 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260209151507

FACILITY NAME:	C-H ADULT DAY CENTER PROGRAM		FACILITY NUMBER:	198601302
ADMINISTRATOR:	DAVID BERRY		FACILITY TYPE:	775
ADDRESS:	8026 E ALONDRA BLVD		TELEPHONE:	(562) 630-8123
CITY:	PARAMOUNT	STATE: CA	ZIP CODE:	90723
CAPACITY:	70	CENSUS: 53	DATE:	02/17/2026
		UNANNOUNCED	TIME BEGAN:	10:28 AM
MET WITH:	Maxine Hartwell, Licensee		TIME COMPLETED:	02:59 PM

ALLEGATION(S):

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Staff handled client in care in a rough manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez made initial 10 day visit to investigate the above allegation. LPA met with Maxine Hartwell, Licensee and David Berry, Administrator, and discussed the purpose of the visit.

The investigation consisted of LPA obtaining staff and client rosters, C1 face sheet, Interviewed five (4) staff (S#1 – S#5) and three (3) clients C#1 – C#3. Two (2) written statements from S5 describing incident dated 01/30/2026 and 02/06/2026 and review of video recording of incident.

The investigation revealed: Regarding allegation: Staff handled client care in a rough manner. It is alleged that S5 handled C1 in rough manner during C1 behavior. LPA interviewed five (5) staff, and all four (4) staff confirmed the incident occurred. LPA interviewed three (3) clients and attempted to interview additional clients but was unable to cognitive language barriers
(continued on 9099C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260209151507

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: C-H ADULT DAY CENTER PROGRAM	FACILITY NUMBER: 198601302
	VISIT DATE: 02/17/2026

NARRATIVE

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(continued from 9099)

One (1) of three clients confirmed the allegation. One (1) client heard the commotion, and one (1) client could not corroborate that allegation. On 1/30/2026 C1 asked staff if C1 could go to mall with them. Staff asked C1 to ask C1 staff. C1 asked S5 if C1 could go to mall outing and S5 told C1 that C1 could not on this day due to lack of proper transportation for C1 and C1 wheelchair. C1 became angry and C1 tossed objects onto the floor. What follows are LPA's Observations from video recording from facility. S5 intervened and took C1 to the outside parking lot by the dumpsters. C1 was visibly upset and saying something to S5. (audio was muffed). The video shows two inappropriate incidents that occurred between C1 and S5. First incident shows S5 pulling the back of C1 wheelchair all the way back to the ground and placing C1 on the ground. Second incident shows C1 being pulled back from the back of C1 jacket as C1 was maneuvering in the front of a vehicle. Video shows C1 being pulled away from the car and bent over head over feet until C1 landed on the floor awkwardly. S5 admits pulling C1 from the jacket. Based on interviews, and video review, there is sufficient evidence to substantiate the allegation.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

Exit interview held. A copy of the report and appeal rights were provided.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260209151507

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: C-H ADULT DAY CENTER PROGRAM	FACILITY NUMBER: 198601302
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/17/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/02/2026 Section Cited CCR 82072(a)(3)	1 2 3 4 5 6 7	82072(a)(3)Each client shall have personal rights which include, but are not limited to, the following: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication, or aids to physical functioning. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee will provide training on personal rights to all staff and send proof to LPA with signature of staff and topic of training by POC date of 03/02/2026. Licensee will send a plan in writing on how this kind of incident will be prevented in the future.
	8 9 10 11 12 13 14	Review of video and S5 statement, S5 handled C1 roughly by pulling on back of C1 wheel chair and laying it on the ground with client still sitting on it and my pulling on back of jacket of C1 until client was forced to the ground awkwardly	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

LIC9099 (FAS) - (06/04)

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