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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601744
Report Date: 07/15/2025
Date Signed: 07/15/2025 04:12:32 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
07/10/2025 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250710160318
FACILITY NAME:JOHN AND MARY DUCE CENTREFACILITY NUMBER:
198601744
ADMINISTRATOR:GARCIA, NOEYFACILITY TYPE:
735
ADDRESS:523 N. CHANDLER AVETELEPHONE:
(626) 289-8766
CITY:MONTEREY PARKSTATE: CAZIP CODE:
91754
CAPACITY:6CENSUS: 6DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
01:22 PM
MET WITH:Alex Stott, Administrator TIME COMPLETED:
04:16 PM
ALLEGATION(S):
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Staff hit resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced initial complaint investigation visit for the allegation above. LPA met with Administrator Alex Stott and the purpose of the visit was discussed.

The investigation consisted of LPA taking a tour of the facility including C1 bathroom, interviewing six (6) staff members and three (3) clients, obtaining and reviewing staff and resident rosters, C1 Physicians Report, Incident report dated 07/10/2025, C1 most current IPP, Monterey Park P.D. card with file number.

The investigation revealed: Regarding allegation, Staff hit client. It is alleged that a staff member hit a client. It is alleged that S3 hit a C1 on July 4, 2025. LPA interviewed six (6) staff members and all six (6) denied the allegation. One staff member stated C1 may have obtained the bruise on forehead on July 4, 2025, while assisting C1 in shower.
(CONTINUE ON 9099C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 2
Control Number 28-AS-20250710160318
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: JOHN AND MARY DUCE CENTRE
FACILITY NUMBER: 198601744
VISIT DATE: 07/15/2025
NARRATIVE
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(continued from 9099)

One staff stated that C1 was sitting in the shower chair close to the faucets and leaned over and struck C1 head. Staff stated that there were no signs of bruising or injuries at that time. LPA interviewed three (3) clients, and all three (3) clients were not able to corroborate the allegation. Three (3) Clients were not able to answer questions due to cognitive impairment. C1 denied that staff hit C1. S3 denied that S3 hit C1 and stated that C1 makes up things. S3 admitted that S3 told C1 that C1 will not get any books or nothing due to making things up. There is no witness to the allegation that staff hit C1. Monterey Park Police Officer Reyes #496 made visit to home to investigate and left without taking any action. There is insufficient evidence to substantiate this 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.

No deficiency was cited per Title 22 for this complaint.

Case management report was generated to address staff violation of client’s personal rights.

Exit interview conducted and copy of report provided to Administrator.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2