198603035-9-9-2025-28-AS-DSIS-DLVS8R-20250926133931

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603035
Report Date: 09/09/2025
Date Signed: 09/09/2025 02:22:33 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
09/03/2025 and conducted by Evaluator Bennette Pena

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250903143605

FACILITY NAME:	PUENTE HOME		FACILITY NUMBER:	198603035
ADMINISTRATOR:	MELISSA VAZQUEZ		FACILITY TYPE:	737
ADDRESS:	1423 E PUENTE AVE		TELEPHONE:	(626) 331-6331
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91791
CAPACITY:	4	CENSUS: 4	DATE:	09/09/2025
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Ronnie Chua - Administrator Hannah Ortega - Interim Administrator		TIME COMPLETED:	01:05 PM

ALLEGATION(S):

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Staff inappropriately pushed a client.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit regarding the above stated allegation. LPA met with Hannah Ortega, Interim Administrator and Matthew Alabi, Asst. Administrator and explained the purpose of the visit. Shortly after, Administrator Ronnie Chua arrived and assisted LPA with the investigation.

The investigation consisted of the following: LPA conducted a tour of the physical plant, obtained/reviewed copies of the Client & Staff Rosters, Staff training about zero tolerance policy/abuse and personal rights, Client #1 (C1) files such as; Identification & Emergency information (Face sheet), Physician’s report, Individual Behavioral Service Plan (IBSP), Individual Program Plan (IPP), Functional Capabilities Assessment, Shift to Shift notes (09/01/2025 - 09/06/2025), Incident reports (dated 09/03/2025 & 09/04/2025) and Police report #25-09030143 (dated 09/03/2025). LPA also interviewed Staff #1 (S1) - Staff #5 (S5) and Client #3 (C3) - Client #4 (C4). Client #1 (C1) is currently hospitalized and Client #2 (C2) was at the day program, therefore both were not interviewed. LPA attempted to contact San Gabriel Pomona Regional Center but no response received.
***CONTINUED ON LINC9099-C*****

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

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-20250903143605

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PUENTE HOME	FACILITY NUMBER: 198603035
	VISIT DATE: 09/09/2025

NARRATIVE

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The investigation revealed the following:

Allegation: “Staff inappropriately pushed a client.” It is alleged that a staff pushed C1 and when a staff tried to escort C1 to go on a gurney without any physical contact or interaction, C1 got upset and told the staff “don’t touch me”. No injuries reported. Interview conducted with (5) of (5) staff members all denied the allegation. Staff members interviewed stated they have never inappropriately pushed any client and have not seen other staff do so. Some staff interviewed stated that on 09/03/2025, there was a physical altercation between (2) clients and staff had to take C1 to their room due to their aggressive behavior. Staff interviewed also stated that although there is a policy allowing physical intervention, there were no hands-on engagement occurred. Some staff interviewed also stated that when C1 was about to be placed on a gurney for a 51/50 hold, a staff member tried to accompany C1 without physical contact. (2) out of (4) clients interviewed also denied the allegation. Clients stated they have not witnessed any staff members pushing clients inappropriately. Clients also stated that staff treat them with respect, and they feel safe at the facility. Therefore, there was insufficient evidence to corroborate with the allegation.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported 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 held, and a copy of this report was provided to Ronnie Chua, Administrator and Hannah Ortega, Interim Administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

LIC9099 (FAS) - (06/04)

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