198601402-9-8-2025-28-AS-DSIS-DLCM68-20250909091929

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601402
Report Date: 09/08/2025
Date Signed: 09/08/2025 01:09:00 PM

Unsubstantiated

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
05/23/2025 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250523133320

FACILITY NAME:	DE LEON HOME		FACILITY NUMBER:	198601402
ADMINISTRATOR:	MAUREEN DELEON		FACILITY TYPE:	735
ADDRESS:	11503 FERINA ST		TELEPHONE:	(562) 900-2717
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	4	CENSUS: 4	DATE:	09/08/2025
		UNANNOUNCED	TIME BEGAN:	11:18 AM
MET WITH:	Peggie De Leon - Administrator		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Uncleared staff are allowed to provide care and supervision.
Staff are not meeting the minimum qualifications required.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced complaint visit to gather addional information and investigate the above allegations. LPA met with Administrator Peggie De Leon and explained the purpose of today's visit.

The investigation consisted of the following:
On 5/30/2025 LPA Wesly conducted the initial 10 day visit and interviewed the administrator, reviewed the staff files, checked the current guardian/facility personnel summaries, and the requested a resident roster.
During todays visit 9/8/2025 LPA interviewed 3 Staff (S1-S2), reviewed 7 staff files, confirmed criminal clearance for each staff using the Guardian website, and delivered findings on the above allegations.

(Continued on LIC9099-C page)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025

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-20250523133320

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: DE LEON HOME	FACILITY NUMBER: 198601402
	VISIT DATE: 09/08/2025

NARRATIVE

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Allegation: Uncleared staff are allowed to provide care and supervision.
It is alleged that facility employs people who have not been criminally cleared to work in this type of environment and that S1 worked at facility for 6 months without a live scan. LPA interviewed 3 staff and 2 out of 3 staff denied the above allegation and stated that they have undergone the required criminal clearance and this was done prior to working at the facility. Interview with S1 revealed they have never worked at this facility. LPA reviewed 7 staff files and all files (and review of criminal clearance via guardian website) revealed that all staff including staff present during todays visit are criminally cleared, however, record review revealed that 2 out of the 7 files showed that 2 staff are not associated to the facility, citation will be issued on a separate Case Management visit.

Allegation: Staff are not meeting the minimum qualifications required.
It is alleged that CPR/First Aid clearance is required to begin employment at this facility, however, S1 worked at facility for 6 months without a live scan. LPA interviewed 3 staff and 2 out of 3 staff denied the above allegation and stated that they have completed the required training including First-Aid/CPR. Interview with S1 revealed they have never worked at this facility but did work at sister facility in Bellflower. LPA reviewed 7 staff files and all staff files had the required valid First-Aid/CPR certificates.

Based on statements and interviews conducted with staff, and review of staff files, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025

LIC9099 (FAS) - (06/04)

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