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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601386
Report Date: 07/24/2026
Date Signed: 07/24/2026 11:02:06 AM

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
07/16/2026 and conducted by Evaluator Gabriela Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260716112921
FACILITY NAME:RUBY GEM HOME CAREFACILITY NUMBER:
198601386
ADMINISTRATOR:SAMONTE, MICHELLE TORRESFACILITY TYPE:
735
ADDRESS:836 HALLWOOD AVETELEPHONE:
(909) 447-4649
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:6CENSUS: 4DATE:
07/24/2026
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Jesenia Flores, House ManagerTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff hit client.
Staff spoke inappropriately to client in care.
Staff did not treat client with respect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced complaint visit on 07/24/2026 to deliver findings related to the above allegations. LPA was greeted by facility staff and House Manager Jesenia Flores arrived shortly thereafter and explained the purpose of the visit.

The investigation included a review of the client roster, staff roster, R1's Face Sheet, Individual Program Plan (IPP), daily reports specific to the date of the alleged incident, communication logs, behavioral charts, and other documentation related to the reported incident. LPA conducted interviews with two clients (C1–C2), three staff members (S1–S3) and one witness (W1). Additionally, LPA toured the facility and observed R1's bedroom, common areas and general staff-client interactions.

(continued on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
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 2
Control Number 28-AS-20260716112921
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: RUBY GEM HOME CARE
FACILITY NUMBER: 198601386
VISIT DATE: 07/24/2026
NARRATIVE
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Allegation: Staff hit client.

It is alleged that S2 struck C1 on the upper chest while C1 was using the restroom.During client interviews, C1 stated that S2 told them to hurry while using the restroom but denied that anyone hit or touched them. C2 reported never witnessing staff hit or push any client and stated they have never seen S2 physically mistreat a client. During staff interviews, S2 denied the allegation and stated, "I would never," when asked if they had struck C1. S3 stated they have never received complaints regarding staff physically mistreating clients, have never witnessed staff hit or push a client, and have no concerns regarding C1 or staff interactions with clients. S1 reported conducting an internal investigation after learning of the allegations, interviewing staff, and finding no evidence that any physical altercation had occurred. S1 further stated there had been no prior concerns regarding S2's interactions with clients. Witness 1 (W1) stated that C1 has a history of making false allegations and attention-seeking behaviors and reported that C1 provided different versions of the alleged incident to multiple staff members

Allegations: Staff spoke inapproy to client in care and Staff did not treat client with respect.

It is alleged that S2 yelled at C1, laughed at C1 following a restroom accident, called C1 "stupid," and failed to treat C1 with dignity and respect. During client interviews, C1 stated that S2 told them to hurry while using the restroom but denied that S2 yelled at them, laughed at them, made fun of them, or called them "stupid" or any other inappropriate name. C1 repeatedly stated they did not like living at the home and wanted to move. C2 stated staff treat clients respectfully, denied ever hearing staff yell at or make fun of clients, and reported never observing S2 treat clients disrespectfully. During staff interviews, S2 denied yelling at, laughing at, making fun of, or calling C1 inappropriate names. S2 that staff strive to make clients feel comfortable and respected. S3 stated C1 has never expressed concerns about staff to them and reported never receiving complaints from clients regarding staff. S3 further stated that all staff are respectful and make an effort to ensure clients feel comfortable. S1 stated they conducted an internal investigation, interviewed staff, and found no evidence supporting the allegations. S1 further stated there had been no prior concerns or complaints regarding S2's interactions with clients and reminded staff to continue treating all clients with dignity and respect, communicate with the job coach regarding behaviors, and document client behaviors appropriately. Witness 1 (W1) stated that C1 has a history of making false allegations and attention-seeking behaviors and reported that C1 provided different versions of the alleged incident to multiple staff members.


Based on the investigation conducted, which included interviews with staff and residents, as well as a review of relevant records, there was insufficient evidence to support the reported allegation. 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. Exit interview was held, and a copy of this report was provided.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2