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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601716
Report Date: 12/18/2025
Date Signed: 12/18/2025 04:50:07 PM

Substantiated


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
11/10/2025 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251110150305
FACILITY NAME:CHOICES R US - MIGUELFACILITY NUMBER:
198601716
ADMINISTRATOR:LY, LANFACILITY TYPE:
735
ADDRESS:3951 MIGUEL AVETELEPHONE:
(562) 801-3061
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:4CENSUS: 3DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Luis Lopez, StaffTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff allowed client in care to access medications resulting in an overdose.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent complaint visit regarding the allegation listed above. LPA arrived unannounced and met with Staff. The purpose of the visit was explained.

On 11/18/25, LPA Chan conducted the initial visit and obtained the staff roster, client roster, and documents for Client #1. Interviews were held with the administrator, three staff, and two clients. Additional staff and clients were interviewed another day. Client #1 is no longer residing at the facility and was not interviewed.

The investigation revealed the following:
Allegation - Staff allowed client in care to access medications resulting in an overdose. It is alleged that the staff discarded expired Tylenol in a trash bin, and Client #1 (C1) was able to grab it at a later time and ingested several pills. LPA conducted interviews with staff and clients.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 5
Control Number 28-AS-20251110150305
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: CHOICES R US - MIGUEL
FACILITY NUMBER: 198601716
VISIT DATE: 12/18/2025
NARRATIVE
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Interviews with staff revealed that C1 got hold of a bottle of pain management medication in the neighbor’s trash bin while taking out the trash. None of the staff witnessed C1 with the bottle until the day of overdose. A Staff reported that C1 did not look well and was told by C1 that many pain management pills were taken. Staff contacted 911 to seek medical attention. Administrator and staff stated they do not discard any medications in their trash bin and did not know when or how C1 got the expired medication from the neighbor’s trash container as they monitor C1. LPA could not interview C1, as the client moved out of the facility, and there is no contact number for C1. Based on record review, C1 is unable to leave the facility unassisted. Although the client hid the pill bottle from the staff, staff should be supervising C1 on outings and/or while taking out the trash to avoid going into trash containers. It is concluded that there is a lack of supervision from staff which resulted in the client obtaining a bottle of pills.

Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore, the above 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.

An exit interview was conducted. The Plan of Correction was reviewed and developed with the administrator via telephone. A copy of this report and appeal rights were provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20251110150305
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: CHOICES R US - MIGUEL
FACILITY NUMBER: 198601716
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
12/26/2025
Section Cited
CCR
80065(a)
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80065 Personnel Requirements (a) Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs.
This requirement is not met as evidenced by:
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The licensee shall conduct an in-service training with all care staff to ensure staff are supervising clients. The log shall be submitted to LPA by 12/26/25.
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Based on interviews and record review, staff did not carefully supervise C1, resulting in C1 getting access to pain medication which poses a potential health and safety risk to clients in care.
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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: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
11/10/2025 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251110150305

FACILITY NAME:CHOICES R US - MIGUELFACILITY NUMBER:
198601716
ADMINISTRATOR:LY, LANFACILITY TYPE:
735
ADDRESS:3951 MIGUEL AVETELEPHONE:
(562) 801-3061
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:4CENSUS: 3DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Luis Lopez, StaffTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff refused to call 9-1-1 for client in care.
Staff sleep at the facility while on shift.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent complaint visit regarding the allegations listed above. LPA arrived unannounced and met with Staff. The purpose of the visit was explained.

On 11/18/25, LPA Chan conducted the initial visit and obtained the staff roster, client roster, and documents for Client #1. Interviews were held with the administrator, three staff, and two clients. Additional staff and clients were interviewed another day. Client #1 is no longer residing at the facility and was not interviewed.

The investigation revealed the following:
Allegation - Staff refused to call 9-1-1 for client in care. It is alleged that the staff on duty refused to call 911 when Client #1 (C1) ingested the pills. LPA interviewed the administrator and five (5) Staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20251110150305
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: CHOICES R US - MIGUEL
FACILITY NUMBER: 198601716
VISIT DATE: 12/18/2025
NARRATIVE
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 Staff stated they are always supervising and observing for any changes in clients. If there is any medical emergency, they will contact 911 right away. During the day of the incident, Staff stated that as soon as they were made aware that C1 ingested the medication, they immediately contacted 911. Staff did not wait as the situation was deemed a medical emergency. C1 was transported to the hospital and did not return to the facility due to being placed on suicidal watch.

Allegation - Staff sleep at the facility while on shift. It is alleged that several staff members sleep at the facility and do not supervise the clients. Administrator Ly stated there are at least (2) staff on duty during the morning and afternoon shifts, and one (1) awake staff in the overnight shift. She did not receive any reports of staff sleeping on the job until recently and an internal investigation was conducted by the administrator. There was no evidence of staff sleeping. LPA interviewed the alleged staff who denied sleeping on the job. Other staff interviewed have not observed any staff sleeping during their shifts, and that they are awake and supervising the clients. LPA interviewed three (3) clients. Two (2) out of the (3) stated that they have not seen any staff sleeping. Staff assist them when needed. One (1) stated that a staff was sleeping during the afternoon shift and reported it to the administrator.

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.

An exit interview was conducted with Staff L. Lopez. A copy of this report, along with the appeal rights, was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5