198603035-1-23-2026-28-AS-LHIS-DQXVVU-20260203154655

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603035
Report Date: 01/23/2026
Date Signed: 01/23/2026 02:35:03 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
01/21/2026 and conducted by Evaluator Bennette Pena

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260121084446

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:	01/23/2026
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Reyna Solis - Lead RBT Salomon Jimenez - Lead RBT		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff make derogatory comments to resident.

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 Reyna Solis, Lead RBT and Salomon Jimenez, Lead RBT and explained the reason for the visit.

The investigation consisted of the following: LPA obtained copies of Staff & Client Rosters, Staff in service training (Client rights/Personal rights, Zero Tolerance policy and Client #1 files such as: Face sheet (ID and Emergency Info.), Admission agreement, latest IPP, Incident reports, Physician Report and Medication list. LPA interviewed Staff #1 (S1) - Staff #5 (S5) and attempted to interview Client #1 (C1) but refused. Client #2 (C2) - Client #3 (C3) were out in the day program and Client #4 (C4) was in the hospital, therefore not interviewed.

The investigation revealed the following:
In regards to the allegation: Staff make derogatory comments to resident. It is alleged that a staff stated that they have said that they are not lesbians, do not like them, and do not support them. (5) of (5) staff interviewed denied the allegation and stated that they had never used offensive language nor said derogatory words towards any of the clients. *****CONTINUED ON LIC9099-C*****

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

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-20260121084446

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: PUENTE HOME	FACILITY NUMBER: 198603035
	VISIT DATE: 01/23/2026

NARRATIVE

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(2) staff interviewed stated that they were having personal conversation on Tuesday evening 01/20/2026 when C1 overheard part of it and misunderstood the whole conversation. According to (3) of (5) staff interviewed, another incident happened the following day, 01/21/2026 when the majority of the staff and clients, including S2 and C1, were watching a music video while C4 was dancing. In one scene, two ladies were seen kissing and dancing. C1 thought the staff hated lesbians when S2 then changed the channel. All staff interviewed indicated that C1 frequently seeks to get attention by making false claims or accusing others of misconduct. Staff also indicated that C1 is an attention seeker who gets jealous when the staff pays attention to other clients. Documents reviewed revealed that C1 has a history of fabricating stories and making claims in order to get people's attention. (2) clients were out in the day program, (1) was in the hospital, and were not interviewed. LPA reached out to the Regional Center and they confirmed that they did not receive this report and were not conducting an investigation. Therefore there was insufficient evidence to corroborate with this allegation.

Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the 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 conducted and a copy of this report was provided to Salomon Jimenez, Lead RBT.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

LIC9099 (FAS) - (06/04)

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