198601390-8-12-2025-28-AS-DSIS-DKWPDK-20250826111340

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601390
Report Date: 08/12/2025
Date Signed: 08/12/2025 09:37:14 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
06/05/2025 and conducted by Evaluator Daniel Konishi

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250605145822

FACILITY NAME:	NEW DAY MONTEBELLO WEIGHT MANAGEMENT		FACILITY NUMBER:	198601390
ADMINISTRATOR:	MATILDAKODJANIAN		FACILITY TYPE:	775
ADDRESS:	511 WASHINGTON BLVD.		TELEPHONE:	(323) 726-1444
CITY:	MONTEBELLO	STATE: CA	ZIP CODE:	90640
CAPACITY:	120	CENSUS: 50	DATE:	08/12/2025
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Virgina Flores, Office Manager		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Staff pushed resident.
Staff threatened resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Daniel Konishi conducted an subsequent unannounced complaint visit at the facility and met with the Office Manager, Virginia Flores to discuss the purpose for today's visit. The purpose of the visit is to investigate the above allegation(s).

On 06/10/2025, the initial investigation visit was conducted. The investigation consisted of the following:
LPA requested a copy of staff and client rosters. LPA also requested copies from the Client #1 (C1) file such as: Face Sheet, Identification Information and Emergency Form, Physician’s Report, IPP, and Personal Rights. LPA also requested copies of the Staff #1 (S1) file such as: Employee Rights, Ongoing staff training, New Day Abuse Reporting Definitions and Procedures, and SOC341A Statement Acknowledgement Requirement to Report Suspected Abuse of Dependent Adults and Elders. LPA interviewed the Program Director, Matilda Kodjanian and S1. LPA did not observe any immediate health and/or safety concerns.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025

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-20250605145822

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: NEW DAY MONTEBELLO WEIGHT MANAGEMENT	FACILITY NUMBER: 198601390
	VISIT DATE: 08/12/2025

NARRATIVE

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On 07/23/2025, LPA attempted to interview C1 by phone but was unable to interview due to C1 unable to answer questions. LPA also obtained video of C1 allegedly explaining what happened on 04/25/2025.
During today's visit, LPA obtained the following documents: staff and client rosters. LPA interviewed Staff #2 (S2) to Staff #4 (S4), and Client #2 (C2) to Client #6 (C6).

The investigation revealed the following: In regards to the allegations, “Staff pushed resident” and “staff threatened resident.” It is alleged that on 04/25/2025, a staff member shoved the client to the side and was asked to leave or they would call the police. LPA interviewed the Program Director and four (4) of the four (4) staff denied the allegation. The Program Director stated that C1 redacted and said that the incident on 04/25/2025 did not occur. One (1) out of four (4) staff stated that when the facility has outings, C1 would change C1’s mind by first stating not wanting to go and then wanting to go when all the transportation vans are full. One (1) out of four (4) staff stated that whenever this happens, the facility has to find a way for C1 to go to the outing but they would have to either ask another client not to go or tell C1 that there is no seats available. One (1) out of four (4) staff stated that when C1 was told by S1 that this was not fair for other clients, C1 got upset and sad. According to the S2, C1 no longer attends New Day Montebello Weight Management as of 06/09/2025. LPA attempted to interview C1 by phone on 07/23/2025 but was unable to interview due to C1 unable to answer questions. Based on client interview, five (5) out of six (6) clients denied the allegations stating that they haven’t been pushed or threatened by staff. Five (5) out of six (6) clients also stated that they haven’t witnessed any clients being pushed or threatened by staff. LPA reviewed the video of C1 where C1 alleged recounts of the alleged incident. However, per review of the video, the video did not reveal any specific details relevant to the alleged incident and it is difficult to understand C1 in the video. LPA also reviewed ongoing staff training on client rights, abuse and neglect prevention, and personnel policies. The Program Director also stated that there have been no disciplinary actions issued to any staff regarding verbally or physically abusing a client. There is not enough evidence to substantiate.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegation(s). Although the allegation(s) 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 allegations are UNSUBSTANTIATED.

Exit interview was held, and a copy of this report was provided to the Office Manager, Virginia Flores.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025

LIC9099 (FAS) - (06/04)

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