198602993-2-7-2026-28-AS-RORN-DRVPGM-20260305101833

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602993
Report Date: 02/07/2026
Date Signed: 02/07/2026 12:06:00 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
01/15/2026 and conducted by Evaluator Kimberly Ramirez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260115100800

FACILITY NAME:	BEXLEY HOME II		FACILITY NUMBER:	198602993
ADMINISTRATOR:	DWIGHT VILLANUEVA		FACILITY TYPE:	735
ADDRESS:	7435 HALRAY AVE		TELEPHONE:	(562) 846-4617
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90606
CAPACITY:	4	CENSUS: 3	DATE:	02/07/2026
		UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Staff Santos Ixcot		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff do not ensure the residents dishes are clean and sanitary
Staff do not allow resident to attend religious events
Staff do not ensure resident is hydrated
Staff mismanage resident's money
Staff yell at resident
Staff do not ensure safety equipment is properly installed
Unlawful eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent visit on 02/07/2026 to deliver findings, regarding the above allegations. On 01/21/2026, LPA Ramirez conducted an initial complaint investigation visit and a need further investigation was documented. During today’s visit, LPA Ramirez was greeted by Staff Santos Ixcot and explained the purpose of the visit

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Staff Roster, Resident Roster, Staff interviews#1- 3 (S1-S3), Client interviews #1-3 (C1-C3), attempted client interview# 4 (C4), Interview of C1’s friend (W1), copies of client#1 (C1): physician’s report, Individual Program Plan (IPP), Admissions Agreement, Record of Client’s/Resident’s Safeguarded Cash Resources(LIC 405), Personal & Incidental receipts for purchases from 10/17/2025 through 12/26/2025, 30-day Eviction Letter, and physical plant tour.

SEE 9099-C for continued report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2026

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 4

Control Number 28-AS-20260115100800

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: BEXLEY HOME II	FACILITY NUMBER: 198602993
	VISIT DATE: 02/07/2026

NARRATIVE

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The investigation revealed the following: regarding the allegation(s) “Staff do not ensure the residents dishes are clean and sanitary.” It is alleged that staff are not keeping dishes used by clients free from mold and dirt. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. Staff interviews revealed that all dishes are washed and dried, commonly touched surfaces are disinfected during every shift, and reusable water bottles are cleaned and dried daily. During facility tour, LPA Ramirez inspected the kitchen area which included refrigerator, dishes, reusable water bottles, cups, utensils, and cookware. LPA Ramirez did not observe health and safety concerns during inspection of kitchen area. 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.

“Staff do not allow resident to attend religious events” It is alleged that staff did not allow C1 to attend religious events. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. Interview of W1 did not corroborate this allegation. Staff interviews revealed that C1 attends religious services twice a week and C1’s friend (W1) will pick up and drop off C1. 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.

“Staff do not ensure resident is hydrated” It is alleged that staff did not ensure C1 is hydrated. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. Client interviews revealed that staff refill clients’ water cups or water bottles daily. During record review of C1’s Unusual/Incident Reports, and recent annual physical, LPA Ramirez did not observe reports indicating C1 was observed being dehydrated or C1 received medical attention for dehydration. During facility tour, LPA Ramirez observed plastic tumblers filled with a clear liquid, near three (3) out of the three (3) clients that were present in the facility during LPA’s visit. LPA Ramirez observed three (3) out of the three (3) clients present at the facility to have moist lips, and no visible signs of dehydration. 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.

SEE 9099-C

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 28-AS-20260115100800

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: BEXLEY HOME II	FACILITY NUMBER: 198602993
	VISIT DATE: 02/07/2026

NARRATIVE

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“Staff mismanage resident's money” It is alleged that staff mismanage resident’s money. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. During record review of C1’s record, it was revealed that C1 was admitted into the facility on 05/21/2019 and the facility handles C1’s cash resources. Review of C1’s Record of Client’s/Resident’s Safeguarded Cash Resources (LIC 405) dated 10/2025 to 01/2026 and Personal & Incidental receipts for purchases dated 10/17/2025 through 12/26/2025, did reveal any cash discrepancies. LPA Ramirez compared receipts to C1’s cash ledger and did not observe any discrepancies. 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.

“Staff yell at resident” It is alleged that staff yell at C1. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. Interview with C2 revealed that staff treat clients with respect. During facility tour, LPA Ramirez observed staff speaking to clients professionally and redirecting clients’ behaviors with a gentle approach. 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.

“Staff do not ensure safety equipment is properly installed” It is alleged that staff do not ensure safety equipment is properly installed. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. During facility tour, LPA Ramirez inspected all bedrooms, bathrooms, kitchen and outdoor areas. LPA Ramirez did not observe health and safety concerns or hazards. LPA Ramirez observed all outdoor railings to be in good repair. 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.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 28-AS-20260115100800

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: BEXLEY HOME II	FACILITY NUMBER: 198602993
	VISIT DATE: 02/07/2026

NARRATIVE

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“Unlawful eviction” It is alleged that C1 was unlawfully evicted. Two (2) out of the three (3) clients interviewed denied this allegation. Due to cognitive impairments, C4 was unable to be interviewed. Three (3) out of the three (3) staff interviewed denied this allegation. During record review, LPA Ramirez observed an Eviction Letter to C1 dated 01/15/2026, which listed the reason for the eviction, list specific dates, witnesses, place and specific facts supporting the reason for the eviction. LPA Ramirez received notification of initial 30-Day Eviction Notice for C1 on 01/15/2026. On 02/02/2026, LPA Ramirez was notified by S1 that C1 relocated by their Regional Center. 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.

No deficiencies were cited during this visit. Exit interview was conducted. A copy of this report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2026

LIC9099 (FAS) - (06/04)

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