<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602852
Report Date: 06/29/2026
Date Signed: 06/29/2026 12:14:34 PM

Unsubstantiated


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
06/25/2026 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260625125145
FACILITY NAME:PEOPLE'S CARE ROSEMEADFACILITY NUMBER:
198602852
ADMINISTRATOR:XENIA CARREONFACILITY TYPE:
775
ADDRESS:1280 SAN GABRIEL BLVDTELEPHONE:
(626) 802-5889
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:60CENSUS: 34DATE:
06/29/2026
UNANNOUNCEDTIME BEGAN:
10:23 AM
MET WITH:
Xenia Carreon, Program Manager 		TIME COMPLETED:
12:16 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit client.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Alberto Lopez made an unannounced visit to investigate the above allegation. LPA met with Xenia Carreon and discussed the purpose of the visit.

The investigation consisted of LPA taking tour of facility, reviewing and obtaining copy of staff and client rosters, C1 Day Program Annual Behavioral support plan dated 01/06/2026, and Body check report of C1 for 06/24/2026.

The investigation revealed regarding the allegation: Staff hit client, it is alleged that a teacher hit client. LPA interviewed three (3) staff, S#1- S#3 and all three (3) staff denied the allegation. One staff S2 stated S2 was with C1 the whole day and did not observe anyone hit C1, S2 denied hitting C1 and S2 also completed a body check on 06/24/2026 at 8:56 AM and when C1 left the program at 12:50 PM and it did obseeve any king of bruises or injuries to C1.
(continued on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026
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-20260625125145
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 ROSEMEAD
FACILITY NUMBER: 198602852
VISIT DATE: 06/29/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(continued from 9099)

One staff, S#4 was not working during visit and LPA was unable to reached staff via phone but LPA obtained S4 notes from 06/24/2026 and there is no mention of C1 being hit by anyone or having any type of behavior that day.

Several staff stated that C1 has history of making up things. C1 Day Program Annual Behavioral support plan dated 01/06/2026 shows that C1 has history of lying. LPA interviewed three (3) clients and all three (3) where not able to corroborate the allegation. LPA attempted to interview other clients but was not successful due to cognitive issues. LPA observed C1 to be clean and in clean clothes and LPA did not observe any bruises, cuts or injuries on C1 during the visit. There is not enough evidence to substantiate this allegation.


Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided to Xenia Carreon, Program Manager
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2