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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602123
Report Date: 01/26/2026
Date Signed: 01/26/2026 05:31:58 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 CAMERONFACILITY NUMBER:
198602123
ADMINISTRATOR:MARGIE KIMBLEFACILITY TYPE:
735
ADDRESS:2441 CAMERON AVETELEPHONE:
(626) 732-3500
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY:4CENSUS: 3DATE:
01/26/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Administrator Filimon GebremichaelTIME COMPLETED:
02:15 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an unannounced subsequent complaint investigation visit on 01/26/2026, regarding the above allegation to deliver a superseded licensing report. The findings remain the same. 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 for continued report.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2026
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: 01/26/2026
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 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 threatened 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 uses profanity towards all clients but mainly C1 and C3.

Based on interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. The following deficiency was cited per CA Code of Regulations Title 22- 80072(a)(1)(3), refer to the 9099D. 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: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/27/2026
Section Cited
CCR
80072(a)(1)(3)
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(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, humiliation, intimidation, ridicule, threat, mental abuse, other actions.
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*No further action is required. POC cleared on 1/19/26.**
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.
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This was requirement not: Based on interviews, 3 of 3 clients & 3 of 5 staff corroborated 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.
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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: 01/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3