198603035-9-9-2025-28-AS-DSIS-DMEUA4-20251013152407

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603035
Report Date: 09/09/2025
Date Signed: 09/09/2025 02:42:51 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
09/09/2025 and conducted by Evaluator Bennette Pena

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250909083246

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:	01:05 PM
MET WITH:	Ronnie Chua - Administrator Hannah Ortega - Interim Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not prevent clients from engaging in a physical altercation resulting in client sustaining an injury.

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), Shift to Shift notes (09/01/2025 - 09/06/2025), Incident reports (dated 09/03/2025 & 09/04/2025), Hospital discharge summary and Police report #25-09030143 (dated 09/03/2025). LPA also interviewed Staff #1 (S1) - Staff #3 (S3) 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. ***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-20250909083246

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 did not prevent clients from engaging in a physical altercation resulting in client sustaining an injury." It is alleged that on 09/07/2025, an individual (I1) punched C1 in the face and was taken to the hospital for treatment of injuries sustained to the face. (3) out of (3) staff interviewed stated that they do not know I1 and that I1 does not reside in the facility. Staff interviewed stated that C1 has been at the psychiatric hospital for a 51/50 hold since 09/05/2025 and has not been released back to the facility yet. S1 stated that on 09/08/2025, they got a call from the Psychiatric hospital telling them that another patient in the Psychiatric hospital had hit C1 and their injuries will be treated at a different hospital. (2) out of (2) clients interviewed confirmed that they know C1 but do not know I1. The investigation revealed that C1 was in a psychiatric hospital when the alleged incident happened. LPA reviewed the client roster and did not see I1 listed as a resident of the facility. Therefore, there was insufficient evidence to corroborate with the allegation.

Based on statements and interviews conducted with staff, clients, review of 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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