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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602208
Report Date: 08/23/2025
Date Signed: 08/23/2025 01:42:36 PM

Substantiated


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
07/31/2025 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250731132328
FACILITY NAME:ELEANOR RICHARDSON HOMEFACILITY NUMBER:
198602208
ADMINISTRATOR:HOLLAND, TRAVISFACILITY TYPE:
735
ADDRESS:462 E GROVE STTELEPHONE:
(909) 398-4488
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY:3CENSUS: 3DATE:
08/23/2025
UNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Kolresha Colbert - Care StaffTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff physically abuses resident.
Staff do not ensure facility has an adequate food supply.
Staff do not ensure facility is maintained at a comfortable temperature for residents.
INVESTIGATION FINDINGS:
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****This report supersedes the original complaint investigation report dated 08/15/2025 to include additional information not included in the original report dated 08/15/2025. The information does not change the findings of the complaint and remain SUBSTANTIATED.********

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint investigation for the allegations listed above. LPA met with Kolresha Colbert, Care Staff and explained the purpose of the visit. Shortly after, Jose Alderete, Administrator arrived and assisted LPA with the investigation.
Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint investigation for the allegations listed above. LPA met with Kolresha Colbert, Care Staff and explained the purpose of the visit. Jose Alderete, Administrator was called on the phone to inform of the purpose of the visit.
The investigation consisted of the following: On 08/07/2025, LPA toured the facility and inspected Client #1 (C1) - Client #3 (C3)'s bedrooms, focusing on C2's, bathroom #2 in C2's bedroom, personal hygiene, cleaning/laundry supplies, water and food supplies. LPA interviewed Staff #1 (S1) - Staff #2 (S2) and Client #3 (C3). LPA attempted to interview C1-C2 but unsuccessful due to their cognitive abilities. LPA reviewed and obtained copies of the following files: latest staff training logs for zero tolerance policy, clients rights, abuse, mandatory reporting, Incident reports, Receipts for food, water, personal hygiene and cleaning supplies (June - Aug 2025), Service report/invoices for plumbing service and relevant files pertaining to Client #1 (C1) - Client #2 (C2). LPA also requested contact information for the Service Coordinator/QA Rep at San Gabriel Pomona Regional Center.
On 08/15/2025, LPA obtained staff & client rosters, facility menu,and interviewed Staff #3 (S3) - Staff #4 (S4). LPA conducted another tour of the facility’s kitchen and observed food supply which was inadequate at the initial visit. During today's visit, LPA delivered the superseded 9099A and 9099-D report. *****CONTINUED ON LIC9099-C*****
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025
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 6
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
07/31/2025 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250731132328

FACILITY NAME:ELEANOR RICHARDSON HOMEFACILITY NUMBER:
198602208
ADMINISTRATOR:HOLLAND, TRAVISFACILITY TYPE:
735
ADDRESS:462 E GROVE STTELEPHONE:
(909) 398-4488
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY:3CENSUS: 3DATE:
08/23/2025
UNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Kolresha Colbert - Care StaffTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff physically abuses resident.
Staff do not ensure facility has an adequate food supply.
Staff do not ensure facility is maintained at a comfortable temperature for residents.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
****This report supersedes the original complaint investigation report dated 08/15/2025 to include additional information not included in the original report dated 08/15/2025. The information does not change the findings of the complaint and remain SUBSTANTIATED.********

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint investigation for the allegations listed above. LPA met with Kolresha Colbert, Care Staff and explained the purpose of the visit. Jose Alderete, Administrator was called on the phone to inform of the purpose of the visit.
The investigation consisted of the following: On 08/07/2025, LPA toured the facility and inspected Client #1 (C1) - Client #3 (C3)'s bedrooms, focusing on C2's, bathroom #2 in C2's bedroom, personal hygiene, cleaning/laundry supplies, water and food supplies. LPA interviewed Staff #1 (S1) - Staff #2 (S2) and Client #3 (C3). LPA attempted to interview C1-C2 but unsuccessful due to their cognitive abilities. LPA reviewed and obtained copies of the following files: latest staff training logs for zero tolerance policy, clients rights, abuse, mandatory reporting, Incident reports, Receipts for food, water, personal hygiene and cleaning supplies (June - Aug 2025), Service report/invoices for plumbing service and relevant files pertaining to Client #1 (C1) - Client #2 (C2). LPA also requested contact information for the Service Coordinator/QA Rep at San Gabriel Pomona Regional Center.
On 08/15/2025, LPA obtained staff & client rosters, facility menu,and interviewed Staff #3 (S3) - Staff #4 (S4). LPA conducted another tour of the facility’s kitchen and observed food supply which was inadequate at the initial visit. During today's visit, LPA delivered the superseded 9099A and 9099-D report. *****CONTINUED ON LIC9099-C*****
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 28-AS-20250731132328
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: ELEANOR RICHARDSON HOME
FACILITY NUMBER: 198602208
VISIT DATE: 08/23/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff physically abuses resident. It is alleged that a staff "karate chops" and kicks a client in the leg. Some staff interviewed stated that they had heard about the incidents from another staff member, even if they had never witnessed them. S3 corroborated the allegation and stated that they had questioned the staff members regarding this alleged incident following LPA's visit on 8/07/2025. S3 stated that S1 admitted to ‘karate chops’ and kicked a client in the leg as a way of protecting themselves when the client displayed an aggressive behavior. S3 also stated that one of the staff admitted to witnessing the alleged incidents that happened months earlier during their shift. S3 stated that they will be providing training on abuse and clients' rights right away, to ensure that this type of incident does not happen again. C3 stated that they had not witnessed the alleged incident, however, they had seen staff restrain and grab a client’s hands, put them on the couch to calm down. LPA attempted to contact the Service Coordinator at San Gabriel Pomona Regional Center, but no response received. Based on the information received and interviews conducted, the allegation is substantiated.

Allegation: Staff do not ensure facility has an adequate food supply. It is alleged that the facility runs out of food every couple of days. Some staff interviewed stated that grocery shopping is done weekly by the Administrator. However, S1 stated that they ran out of food because the new staff did not follow the meal schedule, let the clients choose what they wanted to eat and overfed them. C3 stated that sometimes, they run out of food, and staff will either buy food for the clients or try to make something using what’s left in the refrigerator/freezer. Additionally, C3 stated that C3 buys their groceries at their own expense because the availability and variety of the food provided to them are not satisfactory. During the visit, LPA observed that the facility did not maintain sufficient supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days in the refrigerator, food pantry/snack storage areas. LPA attempted to contact the Service Coordinator at San Gabriel Pomona Regional Center, but no response received. Therefore, the allegation is substantiated.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 28-AS-20250731132328
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: ELEANOR RICHARDSON HOME
FACILITY NUMBER: 198602208
VISIT DATE: 08/23/2025
NARRATIVE
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Allegation: Staff do not ensure facility is maintained at a comfortable temperature for residents. It is alleged that a client’s room is hot, over 80 degrees, has no ventilation or fan, and the client wakes up sweating. Staff interviewed stated that the Administrator is contacted when the home gets hot since the air conditioning system is managed via an app on the Administrator's phone. Some staff interviewed indicated that the Administrator occasionally takes some time to respond when called, which means that the air conditioning cannot be switched on immediately. According to S3, only S3 has access to the air conditioning system through an app on its phone. S3 also stated that the temperature in the home is not automatically set. C3 declined to comment on the facility’s temperature. During the visits on 08/07/2025 and 08/15/2025, LPA observed that there was no window, fan or ventilation and the temperature in C2's bedroom was not maintained in a comfortable temperature which is between 68 degrees F - 85 degrees F. And although C2’s bedroom had a door that leads to the backyard, it failed to open. LPA attempted to contact the Service Coordinator at San Gabriel Pomona Regional Center, but no response received. Therefore, the allegation is substantiated.

Based on LPA’s observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies cited on the attached LIC 9099D. LPA discussed the findings with the Administrator Jose Alderete. An exit interview was conducted with Kolresha Colbert, Care Staff along with the Appeals Rights.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 28-AS-20250731132328
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: ELEANOR RICHARDSON HOME
FACILITY NUMBER: 198602208
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/25/2025
Section Cited
CCR
80072(a)(3)
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80072 Personal Rights..(a),, each client shall have personal rights...(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....
This requirement was not met as evidenced by:
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Administrator agreed to conduct an abuse, clients rights, mandatory reporting and zero tolerance policy training to all staff. Administrator will submit an in service training log as proof to CCL/LPA by POC due date.
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Based on interviews, the Administrator did not comply with the section cited above in which (2) staff members corroborated the allegation and reported it to the administrator months after the incident happened which poses a immediate Health, Safety, or Personal Rights risk to clients 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.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 28-AS-20250731132328
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: ELEANOR RICHARDSON HOME
FACILITY NUMBER: 198602208
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2025
Section Cited
CCR
80076(a)(1)
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80076 Food Services..(a) In facilities providing meals to clients, the following shall apply:(1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients. Each meal shall meet at least 1/3 of the servings recommended in the USDA Basic Food Group Plan - Daily Food Guide for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.
This requirement was not met as evidenced by:
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Administrator submitted copies of the grocery receipts to LPA. Administrator agreed to conduct a meeting with staff regarding managing food supplies. ****DEFICIENCY CLEARED DURING THE SUBSEQUENT VISIT.*****
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Based on interviews, observations, the Administrator did not comply with the section cited above in which the facility did not maintain sufficient supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days in the refrigerator, food pantry/snack storage areas which poses a potential Health, Safety, or Personal Rights risk to clients in care.
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Type B
08/29/2025
Section Cited
CCR
80088(a)
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80088...Furniture, Fixtures, Equipment, and Supplies..(a) A comfortable temperature for clients shall be maintained at all areas.
This requirement was not met as evidenced by:
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Administrator agreed to set the temperature in auto setting and will develop a plan to set a comfortable temperature setting agreeable to staff/clients. Administrator will submit this plan to CCL/LPA by POC due date.
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Based on interviews, observations, the Administrator did not comply with the section cited above in which LPA observed during LPA's visits on 08/07/2025 and 08/15/2025 that C2's room did not have, window, ventilation or fan and the temperature was not maintained in a comfortable temperature which is between 68 degrees F - 85 degrees F, which poses a potential Health, Safety, or Personal Rights risk to clients 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.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6