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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601845
Report Date: 04/03/2025
Date Signed: 04/03/2025 05:03:31 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
03/28/2025 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250328125131
FACILITY NAME:A SPLENDOR LIVING - THE GLENDORA INCFACILITY NUMBER:
198601845
ADMINISTRATOR:CHRIS JENGFACILITY TYPE:
740
ADDRESS:452 SELLERS ST.TELEPHONE:
(626) 594-0152
CITY:GLENDORASTATE: CAZIP CODE:
91741
CAPACITY:34CENSUS: 4DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Caitlin Hidalgo, Assistant Administrator TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff caused injury to resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation listed above. LPA arrived unannounced and met with Assistant Administrator, Caitlin Hidalgo. The purpose of the visit was explained. Administrator, Pamela Ogot, arrived shortly after.

LPA obtained a copy of the staff and resident rosters, reviewed Resident #1’s file, and interviewed the administrator, Staff #1-#5, and Residents #1-#3.

Allegation – Staff caused injury to resident in care. It is alleged that a staff caused Resident #1 (R1) to get a bruise on the right hand on 3/26/25. The administrator and staff denied causing the bruise to the resident. They sated R1 becomes verbally and physically aggressive when staff do not tend to resident immediately.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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-20250328125131
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: A SPLENDOR LIVING - THE GLENDORA INC
FACILITY NUMBER: 198601845
VISIT DATE: 04/03/2025
NARRATIVE
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Although Staff explained why they could not attend to the resident right away, R1 would become impatient and aggressive. Majority of the staff interviewed have witnessed R1 hitting the wall, doors, or rails. R1 has also been verbally and physically abusive toward staff and made threatening comments.
LPA interviewed S1 via telephone today. S1 denied causing the bruise to R1’s hand. S1 and another staff noticed the bruise last Tuesday and questioned R1 about it. R1 could not remember how the bruising occurred. S1 stated that the police contacted staff last Friday to question about the incident. S1 had not been on schedule to assist R1 with care during the alleged date of incident.
LPA interviewed 3 residents during the visit today. Two of the three residents interviewed have not been hurt by any staff. One of the residents stated that Staff #1 took the right hand and swung it against the side rail, which caused a bruise to the hand. The resident also stated it occurred once and staff denied it to the police.
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.

An exit interview was conducted with staff I. Serrato. A copy of this report along with the appeal rights was provided.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
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