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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601949
Report Date: 10/23/2025
Date Signed: 10/23/2025 03:05:55 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
10/06/2025 and conducted by Evaluator Bennette Pena
COMPLAINT CONTROL NUMBER: 28-AS-20251006165035
FACILITY NAME:OPARC SUMMIT SERVICES WESTFACILITY NUMBER:
198601949
ADMINISTRATOR:TOMINES, JONATHANFACILITY TYPE:
775
ADDRESS:355 S LEMON AVE STE GTELEPHONE:
(909) 598-8055
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY:60CENSUS: 45DATE:
10/23/2025
UNANNOUNCEDTIME BEGAN:
09:58 AM
MET WITH:Stephen Falla - Program ManagerTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff caused injuries to a client in care.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bennette Pena conducted a subsequent complaint investigation in response to the above mentioned allegation. LPA met with Stephen Falla, Program Manager and explained the reason for the visit.

The investigation consisted of the following: On 10/07/2025, LPA conducted a tour of facility and common areas and obtained a copy of the staff and client rosters, facility sketch, handbook for clients/staff, pertinent files for Client #1 (C1) and Staff #1 (S1), Unusual Injury/Incident Report/SIR (10/06/2025). LPA also requested copies of the Staff in-service training for Mandated Reporting, Zero Tolerance Policy, contact information for the QA and SC for San Gabriel Pomona Regional Center and photos of C1's injuries.

During today's visit, LPA obtained a copy of the staff and client rosters, conducted interviews with staff members, Staff #1 (S1) - Staff #5 (S5), Client #2 (C2) - Client #4 (C4), Family member (FM) and Quality Assurance Representative (QA) for San Gabriel Pomona Regional Center, by phone. The interview with Client #1 (C1) was unsuccessful due to his cognitive capacities. LPA also attempted to interview former staff, Staff #6 (S6) 3x but unsuccessful as no response received. *****CONTINUED ON LIC9099-C*****
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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-20251006165035
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: OPARC SUMMIT SERVICES WEST
FACILITY NUMBER: 198601949
VISIT DATE: 10/23/2025
NARRATIVE
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The investigation revealed the following:

In regards to the allegation: "Staff caused injuries to a client in care." It is alleged that many bruises on C1's chest, back, and wrist were observed and believed that S5 caused the injuries at the day program. (5) of (5) staff interviewed cannot corroborate the allegation and indicated that they never hurt clients. All staff interviewed stated that they have not seen any staff causing injuries to any clients in the day program, including C1. Some staff interviewed indicated that they did not see visible injuries nor observed anything unusual with C1’s behavior. According to S1, this allegation has led to S5 being placed on administrative leave. S1 also indicated that there have not been any write ups or previous allegations against S5 in the past. (4) of (4) clients interviewed stated that they have not been hit, threatened or hurt by any of the staff members nor have they seen staff do that to any clients. LPA reviewed pictures of C1's bruises, as well as records demonstrating that C1 engages in self injurious behavior and suffers from a condition that can cause seizures. Interview with QA revealed that they have not yet reached a formal conclusion on this allegation and are currently investigating. Documentation reviewed and interviews conducted do not corroborate this allegation.

Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the 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.

Exit interview conducted and a copy of this report was provided to Stephen Falla, Program Director.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2