198602891-6-22-2025-28-AS-DSIS-DJGNBC-20250711101853

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602891
Report Date: 06/22/2025
Date Signed: 06/22/2025 12:53:01 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
06/06/2025 and conducted by Evaluator Christian Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250606155453

FACILITY NAME:	ELWYN CALIFORNIA - EL MONTE		FACILITY NUMBER:	198602891
ADMINISTRATOR:	ADALID SOLANO GUTIERREZ		FACILITY TYPE:	735
ADDRESS:	12052 CONFERENCE ST		TELEPHONE:	(626) 672-0248
CITY:	EL MONTE	STATE: CA	ZIP CODE:	91732
CAPACITY:	4	CENSUS: 4	DATE:	06/22/2025
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Ashley Singley LPT		TIME COMPLETED:	01:05 PM

ALLEGATION(S):

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Staff do not follow client's behavior plan
Staff are not adequately trained to meet the needs of clients in care
Staff retaining a resident that requires a higher level of care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with LPT Ashley Singley and explained the purpose of the visit.

The investigation consisted of the following: During the initial visit conducted on 06/12/2025, LPA’s interviewed Administrator, Staff #1- Staff #3, and Residents #1. LPA obtained copies of the following documents: staff roster, resident roster, R1’s physicians report, face sheet, Individual program plan (IPP), preplacement appraisal Information, and behavior notes. During today’s visit LPA Gutierrez obtained training sheets and delivered findings.

SEE 9099C

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250606155453

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: ELWYN CALIFORNIA - EL MONTE	FACILITY NUMBER: 198602891
	VISIT DATE: 06/22/2025

NARRATIVE

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In regard to the allegation “Staff do not follow client's behavior plan”, it is alleged that staff left, and new staff is not following C1’s behavior plan. During interviews with Administrator and staff four (4) out of four (4) staff stated that all staff have been trained accordingly. Administrator stated that one staff has left but C1 always has one staff assigned to him/her. LPA reviewed documents and behavior plan is being followed. Administrator stated that they have notified regional center and are seeking a to hire a Regional behavioral therapist (RBT) to meet the needs of C1.

In regard to the allegation “Staff are not adequately trained to meet the needs of clients in care”, It is alleged that staff are not properly trained causing staff to be burned out. During interviews with Administrator and staff four (4) out of four (4) staff stated that training is given all the time but feel C1 is hard to handle. Staff did admit to feeling burned out and that a lot of time is spent with handling C1’s behavior issues. Administrator stated that staff alternates and that a lead staff will step in if staff feel overwhelmed. LPA obtained copies of training that’s staff has been given.

In regard to the allegation “Staff retaining a resident that requires a higher level of care”, it is alleged that facility needs to relocate C1 because a higher level of care is needed. During interviews with Administrator and staff three (3) out of four (4) stated they feel that C1 may need a higher level of care. Administrator stated that although they feel like a higher level of care is needed that they are following clients’ needs and service plan and notifying regional center of any and all issues. Ultimately there is nothing stated from doctors or care team that suggest a higher level of care is needed.

SEE 9099C

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and a copy of this report was given to Ashley Singley.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2025

LIC9099 (FAS) - (06/04)

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