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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602128
Report Date: 08/14/2025
Date Signed: 08/14/2025 12:16:38 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
08/06/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250806131614
FACILITY NAME:VOCATIONAL INNOVATIONSFACILITY NUMBER:
198602128
ADMINISTRATOR:PATEL, MANDAKINIFACILITY TYPE:
775
ADDRESS:1532 E SAN BERNARDINO B1-B5TELEPHONE:
(909) 971-3280
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:60CENSUS: 38DATE:
08/14/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Noe RodriguezTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff inappropriately pushed a client while in care.
Staff is verbally aggressive to the clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a visit to investigate the above allegations. LPA met with Noe Rodriguez and discussed the purpose of today’s visit.

During this visit, LPA obtained a copy of the staff and client rosters, staff contact information, reviewed Client #1 (C-1’s) and Staff #1 (S-1's) files and obtained relevant documentation. LPA interviewed Staff #1 (S-1) through Staff #6 (S-6). LPA was unable to interview C-1 and C-2 as both are non-verbal. LPA was unable to interview additional clients as clients present are non-verbal. LPA also obtained a copy of San Gabriel Pomona Regional Center’s Investigation report which found the allegations to be substantiated.

Refer to LIC 9099C for the continuation of this report.
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
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 3
Control Number 28-AS-20250806131614
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: VOCATIONAL INNOVATIONS
FACILITY NUMBER: 198602128
VISIT DATE: 08/14/2025
NARRATIVE
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Allegation: Staff inappropriately pushed a client while in care It has been alleged that S-1 inappropriately pushed C-1 while in care. A special incident report was sent to this office involving C-1 pertaining to an allegation of abuse involving Staff #1 (S-1). Per incident report, on 07/22/25, C-1 was exhibiting aggressive behaviors which included grabbing, hitting and attempting to hit S-1. Per special incident report, while C-1 was being guided to the relaxation room by S-1, C-1 began to kneel and S-1 with both hands pushed C-1 to the ground causing C-1 to fall forward onto C-1’s hands and knees. Per reviewed documentation and interviews, S-1 did not utilize appropriate intervention techniques as per this program’s policy. Interviews revealed that this program has a “hands-off/hands-free” behavior management strategies policy in place. Interview and reviewed documentation revealed that S-1 placed S-1’s hands with open palms on back of C-1’s shoulders and pushed C-1 towards the relaxation room in a “guiding way” and not shoving. Allegation corroborated.

Allegation: Staff is verbally aggressive to the clients. It has been alleged that S-1 has been verbally aggressive with C-1 as well as other clients. Interviews revealed that S-1 spoke to C-1 in an authority and intimidating tone, would tell clients to “sit down” in a loud tone and at times spoke in a demeaning and unprofessional tone. Allegation corroborated.

Based on observation and interviews conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiency cited. Refer to LIC 9099D.

Exit interview conducted. A copy of this report and appeal rights were provided to Noe Rodriguez.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250806131614
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: VOCATIONAL INNOVATIONS
FACILITY NUMBER: 198602128
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2025
Section Cited
CCR
82072(a)(3)
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Personal Rights:(a) Each client shall have personal rights which include, but are not limited to, the following:(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
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Administrator to provide staff with personal rights training and submit the curriculum used for the training along with a sign-in sheet with staff names, staff signatures, date and duration of training conducted and provide proof of training to LPA Irra by POC due date.
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with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter,clothing,medication, or aids to physical functioning. This standard is not met as evidence by: S-1 placed S-1’s hands with open palms on back of C-1’s shoulders and pushed C-1 towards the relaxation room in a “guiding way” and not shoving.
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Type B
08/22/2025
Section Cited
CCR
82072(a)(1)
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Personal Rights:(a) Each client shall have personal rights which include, but are not limited to, the following: (1)To be accorded dignity in his/her personal relationships with staff and other persons.
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Administrator to provide staff with personal rights training and submit the curriculum used for the training along with a sign-in sheet with staff names, staff signatures, date and duration of training conducted and provide proof of training to LPA Irra by POC due date.
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This standard is not met as evidence by:

S-1 spoke to C-1 in an authority and intimidating tone, would tell clients to “sit down” in a loud tone and at times spoke in a demeaning and unprofessional tone.
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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.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC9099 (FAS) - (06/04)
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