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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603035
Report Date: 10/03/2025
Date Signed: 10/03/2025 01:29:15 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
09/26/2025 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250926124600
FACILITY NAME:PUENTE HOMEFACILITY NUMBER:
198603035
ADMINISTRATOR:MELISSA VAZQUEZFACILITY TYPE:
737
ADDRESS:1423 E PUENTE AVETELEPHONE:
(626) 331-6331
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY:4CENSUS: 4DATE:
10/03/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Ronnie Chua - Administrator
Matthew Alabi - Asst. Administrator
TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not ensure resident had privacy.
Staff did not provide a comfortable environment for resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit regarding the above stated allegations. LPA met with, Administrator Ronnie Chua and explained the purpose of the visit.

The investigation consisted of the following: LPA conducted a tour of the physical plant, obtained copy of the Client & Staff Rosters, Staff training about clients privacy 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 (09/24/2025 - 09/27/2025), and Doctor's visit summary. LPA interviewed Staff #1 (S1) - Staff #3 (S3), Client #2 (C2) and Quality Assurance (QA) at San Gabriel Pomona Regional Center. Client #3 (C3) - Client #4 (C4) were at the day program, therefore not interviewed. LPA attempted to speak with Client #1 (C1) several times, but refused to speak. ***CONTINUED ON LIC9099-C*****

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
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-20250926124600
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: 10/03/2025
NARRATIVE
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The investigation revealed the following:

Allegation: "Staff did not ensure resident had privacy." It is alleged that during a doctor’s visit, staff did not provide C1 with privacy, prevented C1 from leaving the room and was rushed to change while staff watched C1 undress. (3) out of (3) staff interviewed denied the allegation. All staff interviewed stated they have not heard or observed any staff member violating clients’ privacy rights and they receive training on residents' rights and dignity on a regular basis. S1 stated they have never received or heard complaints about this and would investigate if it ever comes to their attention. S2 stated that on 09/25/2025, they accompanied C1 to a doctor's visit and they turned away while C1 was undressing because the doctor's clinic did not have a private changing area. S2 denied preventing C1 from leaving the room and C1 never asked S2 to leave the room. Interviewed client stated that staff respect their privacy and treat them with respect and dignity. During the visit, LPA attempted to speak with C1 several times but C1 refused to talk. Interview with the QA at the Regional Center confirmed that they did not receive this complaint and there is no ongoing investigation about this. Documents reviewed as well as interviews with staff and QA confirmed that C1 has a history of fabricating stories. Therefore, there was insufficient evidence to corroborate with this allegation.

Allegation: "Staff did not provide a comfortable environment for resident." It is alleged that C1 felt uncomfortable because staff rushed C1 to change and watched them undress. (3) out of (3) staff interviewed denied the allegation. All staff interviewed indicated that they are aware that all clients have the right to personal privacy during medical examinations and while changing clothes. Staff interviewed stated they are also aware that it is important to maintain clients' dignity in all interactions and noted that they receive regular training on clients' privacy rights and dignity. S2 stated they accompanied C1 to a doctor's appointment where there was no private changing area, but C1 never asked them to leave and they never rushed or watched C1 undress. Interviewed client stated that they are satisfied with the comfortable and private environment provided by the staff. During the visit, LPA attempted to speak with C1 several times but C1 refused to talk. Interview with the QA at the Regional Center confirmed that they did not receive this complaint and there is no ongoing investigation about this. Documents reviewed as well as interviews with staff and QA confirmed that C1 has a history of fabricating stories. Therefore, there was insufficient evidence to corroborate with this allegation.

Based on documentation reviewed and interviews conducted, there was not enough supportive evidence to concur with the reported 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.

Exit interview conducted and a copy of this report was provided to Matthew Alabi, Asst. Administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
LIC9099 (FAS) - (06/04)
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