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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602891
Report Date: 04/29/2025
Date Signed: 04/29/2025 11:30:34 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
03/21/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250321163220
FACILITY NAME:ELWYN CALIFORNIA - EL MONTEFACILITY NUMBER:
198602891
ADMINISTRATOR:ADALID SOLANO GUTIERREZFACILITY TYPE:
735
ADDRESS:12052 CONFERENCE STTELEPHONE:
(626) 672-0248
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY:4CENSUS: 4DATE:
04/29/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:LVN Xuexiang WuTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff is physically abusing client
Staff is mentally abusing client
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by LVN Xuexiang Wu and explained the reason for the visit.
Shortly thereafter Administrator Hazel Gatan arrived.
The purpose of the visit is to deliver findings from the initial complaint dated 03/21/25.
The following was done at initial visit conducted on 03/28/25:
Interviews were conducted with the Administrator and Staff S1 telephonically. Staff S2 was interviewed at the facility.
Client C1 refused to be interviewed.
Various documents were submitted from Client C1's file.
At today's visit 04/29/25 Client C1 was interviewed.
In regards to the allegation Staff is physically abusing client and Staff is mentally abusing client based on interviews conducted and information gathered Client C1 stated that staff are nice to her.
Said no one has done anything bad to her. No yelling or hitting.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
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 2
Control Number 28-AS-20250321163220
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: ELWYN CALIFORNIA - EL MONTE
FACILITY NUMBER: 198602891
VISIT DATE: 04/29/2025
NARRATIVE
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Stated that staff helps her with whatever she needs and she is happy here.
Said she likes all staff.
Staff stated that Client C1 always has a 1 on 1 staff that is always with her.
Said there are also other staff on duty and the living room area is close to Client C1's bedroom so everything can be heard or seen. Stated that Client C1 has many behaviors and will hit another client.
Stated that never seen anyone hit her or heard of anyone. Alot of it is blocking her blows.
There is no lock on her door
They will talk with her and will never restrain her. If still hitting they will walk with her and ask her if she needs to calm down.
Said when Client C1 is having behaviors they will redirect the other clients to their room for safety. Stated always other staff on duty plus her 1 on 1 and they have seen that nobody has done anything inappropriate.
Administrator stated that no one had any concerns brought to her attention regarding Client C1.
Also stated that there hasn't been any complaints regarding physical or mental abuse of Client C1. Said there are 3 staff on duty including Client C1's 1 on 1 so doesn't believe it happened.

It should be noted that the San Gabriel Pomona Regional Center's findings were Unsubstantiated on 04/16/25.

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.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2