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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601402
Report Date: 05/30/2025
Date Signed: 05/30/2025 04:52:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/23/2025 and conducted by Evaluator Nicol Wesley
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250523133320
FACILITY NAME:DE LEON HOMEFACILITY NUMBER:
198601402
ADMINISTRATOR:MAUREEN DELEONFACILITY TYPE:
735
ADDRESS:11503 FERINA STTELEPHONE:
(562) 900-2717
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:4CENSUS: 3DATE:
05/30/2025
UNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Peggy DeLeonTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Uncleared staff are allowed to provide care and supervision.
Staff are not meeting the minimum qualifications required.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Nicol Wesley conducted an initial 10 day complaint investigation for the allegations listed above. LPA met with Administrator Peggy DeLeon to discuss the purpose for todays visit.

The investigation consisted of the following: LPA Wesley interviewed the administrator, reviewed the staff files #1-#5, received the LIC 500 Personnel Report, checked the current guardian/facility personnel summaries, and the requested a resident roster.
Investigation reveal the following: LPA Wesley reviewed all staff files and compared them to the LIC 500 all staff were cleared, cpr/first aid certified, and took all of the dsp staff met the minimum qualifications to work in a adult residential facility. The administrator Peggy DeLeon said that staff #6 has never worked in this facility.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred, therefore the allegations are Unsubstantiated. A copy of this report was given during the exit interview.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025
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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