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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602244
Report Date: 07/14/2026
Date Signed: 07/14/2026 10:39:33 AM

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
05/08/2026 and conducted by Evaluator Jewel Baptiste
COMPLAINT CONTROL NUMBER: 28-AS-20260508142154
FACILITY NAME:PASADENA ADULT LIVING CENTERFACILITY NUMBER:
198602244
ADMINISTRATOR:GARCIA, RUBYFACILITY TYPE:
735
ADDRESS:1415 N GARFIELD AVETELEPHONE:
(626) 398-9647
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY:136CENSUS: 80DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Administrator Ruby GarciaTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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Client was financial abused by a previous employee who worked at the facility.
INVESTIGATION FINDINGS:
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On 07/14/2026, Licensing Program Analyst (LPA) Jewel Baptiste conducted a subsequent visit to investigate the above allegations. Upon arrival, LPA met with the Jennifer Tapia Med-Tech. The Administrator Ruby Garcia arrived at 10:00 a.m. and discussed the purpose of today's visit.

During the initial visit on 5/14/2026, LPA interviewed the Administrator and four (4) staff members (S2-S4). LPA Baptiste interviewed former staff (S1). LPA interviewed a total of eight (8) clients who shall be known as (C1-C8). LPA obtained the current client, staff roster, C1 appraisal/Needs and Services plan, C1’s physicians' report dated 2019 and 2025, Client personal rights, C1’s admission agreement dated 2023 and 2026, C1 Identification and Emergency Information, S1 Personnel policies, S1 job description, S1 SOC 341, Incident Report, S1 driver’s license, S1 Personnel record and photos of S1 and C1 text messages.

Report continued on 9099c
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
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 2
Control Number 28-AS-20260508142154
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: PASADENA ADULT LIVING CENTER
FACILITY NUMBER: 198602244
VISIT DATE: 07/14/2026
NARRATIVE
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The investigation reveals the following: " Client was financially abused by a previous employee who worked at the facility.”. It is alleged that former staff S1 financially abused C1. During the interview with the Administrator, they stated that C1 did not inform them until S1 resigned from the facility. All staff stated they were unaware of S1 taking money from C1. Four (4) out of eight (8) clients stated they have no knowledge of S1 taking money from anyone. One (1) of eight (8) clients stated that S1 has borrowed money but has returned it. Two (2) out of eight (8) clients stated they have bought S1 food on their own accord but have not given S1 money. One (1) of eight (8) clients confirmed they never told the facility anything until S1 was leaving because they feared they would not get their money back. They confirmed that they willingly let S1 borrow the money and that everything was done in cash. S1 denied the allegation, stating they did not understand why C1 would say that, as they were good friends. LPA reviewed facility plan of operation and did not find rules regarding finances between clients and staff.

Based on LPA's interviews, the investigation revealed that although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove whether the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted with Ruby Garcia and a copy of this record provided.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2