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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602123
Report Date: 12/16/2025
Date Signed: 12/16/2025 04:15:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/08/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251208151740
FACILITY NAME:PEOPLE'S CARE CAMERONFACILITY NUMBER:
198602123
ADMINISTRATOR:MARGIE KIMBLEFACILITY TYPE:
735
ADDRESS:2441 CAMERON AVETELEPHONE:
(626) 732-3500
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY:4CENSUS: 3DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Administrator Filimon GebremichaelTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff are limiting client's access to a variety of foods
Staff intentionally aggravated client in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Administrator Filimon Gebremichael and explained the reason for the visit.

The investigation consisted of the following: LPA Trueman requested a copy of staff and client roster. Interviewed Staff S1- Staff S5, Clients C1-C3, and the Administrator.
Administrator Submitted copies of physician’s report, identification and emergency information sheet, Individual Program Plan (IPP), and admission agreement, for Client C1.
LPA toured the kitchen and food supply and observed a sufficient supply of 2 day perishables and 7 day non-perishables.

The investigation revealed the following: Regarding allegation: Staff are limiting client's access to a variety of foods. Based on interviews conducted and information gathered it was revealed by Client C1 that he has
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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-20251208151740
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PEOPLE'S CARE CAMERON
FACILITY NUMBER: 198602123
VISIT DATE: 12/16/2025
NARRATIVE
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never been deprived of food by Staff S4 or any other staff..
Client C2 stated clients can have food whenever they want. Said they tell C1 in a good way because his blood sugar elevates with too much sweets. Said C1 is the one who complains alot.
Said staff are firm and not in a bad way. Said no one mocks him.
Client C3 said you can eat whatever you want and hasn't seen anyone deprived of fruits and food.
Administrator stated that he has seen Staff S4 interact with Client C1 and it is always appropriate.
Has never seen any mocking.
Staff S1-S3 and Staff S5 all stated that Staff S4 acts appropriately and only has tried to help Client C1 so blood sugars don't elevate.
All stated that Staff S4 speaks nicely and is very kind bringing snacks and food for movie night and also giving goodie bags for all.
Staff S4 stated that clients have access to all fruits and food. Has never deprived anyone. Has spoken with Client C1 in a helpful way so blood sugars don't elevate.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.
In regards to the allegation Staff intentionally aggravated client in care, based on interviews conducted and information gathered Client C1 stated that Staff S4 has always treated him well.
Stated Staff S4 never has mocked him. Said staff has never spoken bad to him.
Client C2 said C1 is the one who talks bad and calls the staff bad names..
Said staff are firm and not in a bad way. Said no one mocks him.
Client C3 stated has been here 6 years and staff treat clients well and never mock anyone.
Administrator stated that he has seen Staff S4 interact with Client C1 and it is always appropriate.
Has never seen any mocking.
Staff S1- Staff S3 and Staff S5 all stated that Staff S4 acts appropriately.
All stated that Staff S4 is kind to everyone bringing snacks and food for everyone and will buy out of her own pocket.
Staff S4 said she doesn't have that type of relationship with Client C1 of messing with each other verbally.
Said definitely doesn't mock Client C1.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Administrator Filimon Gebremichael and a copy of this report was provided.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
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