198602123-1-17-2026-28-AS-RORN-DQQQFE-20260127110748

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602123
Report Date: 01/17/2026
Date Signed: 01/17/2026 02:00:28 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
11/03/2025 and conducted by Evaluator Kimberly Ramirez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251103081618

FACILITY NAME:	PEOPLE'S CARE CAMERON		FACILITY NUMBER:	198602123
ADMINISTRATOR:	MARGIE KIMBLE		FACILITY TYPE:	735
ADDRESS:	2441 CAMERON AVE		TELEPHONE:	(626) 732-3500
CITY:	COVINA	STATE: CA	ZIP CODE:	91724
CAPACITY:	4	CENSUS: 3	DATE:	01/17/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Administrator Filimon Gebremichael		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility staff spoke inappropriately to client.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint investigation visit on 01/17/2026 regarding the above allegation, to deliver findings. On 11/10/2025, LPA Ramirez conducted an initial complaint investigation and a needs further investigation was documented. During today’s visit LPA Ramirez was greeted by Administrator Filimon Gebremichael and explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster (LIC 500), Staff#1 - 5,8 interviews (S1 – S5, S8), Attempted interview of Staff#6-7 (S6-S7), Client#1-3 (C1-C3) interviews, Copies of Client#1-3 (C1-C3): Face sheet, Individual Program Plan (IPP), Emergency Contact Information, Copies of staff#6 (S6) Personnel Record (LIC 501), Copy of Peoples Care Cameron Staff Expectations, and physical plant tour.

SEE 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026

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 3

Control Number 28-AS-20251103081618

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: PEOPLE'S CARE CAMERON	FACILITY NUMBER: 198602123
	VISIT DATE: 01/17/2026

NARRATIVE

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The investigation revealed the following: regarding the allegation “Facility staff spoke inappropriately to client.” It is alleged staff spoke inappropriately to a client. Three (3) out of the three (3) clients interviewed corroborated this allegation. Three (3) out of the five (5) staff interviewed corroborated this allegation. LPA Ramirez attempted to contact S6 and S7 but was unsuccessful after multiple attempts. Client interviews revealed that S6 and S7 would use profanity towards to C1-C3 on a regular basis. Interview with C1 revealed that S6 and S7 would use insults towards C1 when C1 expressed anger or said something S6 and S7 did not like. C1 revealed that S7 threated to “knock C1 out” if C1 had an expressed behavior. Interview with C3 revealed that S6 and S7 would use profanity towards C3 and C1 when S6 or S7 get upset. Interviews with staff revealed that S6 and S7 were heard using profanity and hurling insults towards clients. Interview with S4 revealed that they heard S6 and S7 speak inappropriately to C1 directly and use profanity to insult C1 and C3 regularly. Interview with S8 revealed that they were told about S6’s behavior from other staff and S6 was in the process of being reprimanded for their conduct. S8 revealed that S6 & S7 were no longer working at the facility. Interview with S5 revealed that they’ve heard S6 use profanity towards all clients but mainly C1 and C3.

Per title 22, Division 6, Chapter 1, Article 06. Continuing Requirements: 80072(a)(1)(3)- Personal Rights- (a)Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded with dignity in his/her personal relationships with staff and other persons. (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

Based on interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

Staff#6 and 7 (S6-S7) conduct possess and immediate risk to the health, safety, or personal rights of persons in care. LPA Ramirez will issue one (1) type A deficiency. Exit interview was conducted. A copy of this report, 9099-D and appeals rights was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20251103081618

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: PEOPLE'S CARE CAMERON	FACILITY NUMBER: 198602123
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/17/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed Type A 01/19/2026 Section Cited CCR 80072(a)(1)(3)	1 2 3 4 5 6 7	(a)each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded with dignity in his/her personal relationships with staff. (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat,	1 2 3 4 5 6 7	Administrator agreed to submit plan to address how staff will comply with regulation 80072(a)(1)(3) by 01/19/26. Plan must emailed to LPA Ramirez.
	8 9 10 11 12 13 14	mental abuse, other actions. This was requirement not: Based on interviews, S6 &S7 did not accord C1-C3 with dignity and used intimidation and threats towards 3 of 3 clients, which poses an immediate risk to the health, safety, or personal rights of persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2026

LIC9099 (FAS) - (06/04)

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