198603162-2-10-2026-28-AS-RORN-DRLUND-20260224144347

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 01/28/2026
Date Signed: 02/10/2026 01:51:05 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
12/10/2025 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251210115908

FACILITY NAME:	WHITTIER GLEN ASSISTED LIVING		FACILITY NUMBER:	198603162
ADMINISTRATOR:	BARBA AGUIRRE, ITZAYANA		FACILITY TYPE:	740
ADDRESS:	10615 JORDAN RD		TELEPHONE:	(562) 943-3724
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90603
CAPACITY:	93	CENSUS: 87	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	01:46 PM
MET WITH:	Itzayana Barba Aguirre - Administrator		TIME COMPLETED:	02:03 PM

ALLEGATION(S):

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Staff pushed resident in care
Staff yelled at resident in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erik Zaragoza conducted a subsequent unannounced complaint visit to address the allegations listed above. LPA met with Itzayana Barba Aguirre, administrator for the facility, and explained the purpose of the visit.

The investigation consisted of the following: During the first visit conducted on 12/12/2025, LPA interviewed Staff #1 - 3 (S1 - S3), Resident #2 (R2), and also obtainted staff rosters, resident rosters, and also the FACE Sheet, Physician's Report, and Appraisals for Resident #1 (R1). During the second visit conducted on 1/6/2026, LPA interviewed Residents #4 - 9 (R4 - R9), and also interviewed Staff #4 (S4). LPA interviewed R1 regarding the above allegation on a previous visit on 11/24/2025. During today's visit, LPA is delivering the findings of the allegation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

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-20251210115908

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: WHITTIER GLEN ASSISTED LIVING	FACILITY NUMBER: 198603162
	VISIT DATE: 01/28/2026

NARRATIVE

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In regards to the allegation that "Staff pushed resident in care," it is alleged that on 11/20/2025, R1 was pushed into a wall by S4 when they were being assisted with being transferred out of bed which caused a skin tear on R1's arm. During interviews with the residents, eight (8) out of nine (9) did not corroborate the allegation. One resident interviewed stated that they have not been pushed by any of the staff members in the facility. Another resident interviewed stated that while they have also not been pushed by any staff member in the past. During interviews with the staff, none of them corroborated the allegation. S4 stated that they are utilizing a buddy stem with fellow caregivers to avoid the rough handling of residents when transferring them out of bed. Other staff denied that R1 was handled roughly and noted that they have thin fragile skin which led to the tear during transferring R1 to a hoyer lift.

In regards to the allegation that "Staff yelled at resident in care," it is alleged that R1 had been yelled at by staff members in the facility. During interviews with the residents, seven (7) out of nine (9) interviewed did not corroborate the allegation. One of that staff have never yelled at them or said anything inappropriate to them. During interview with another resident, they stated that they also have never been yelled at in the facility by any of the staff members. During interviews with staff members, none of them corroborated the allegation. One staff member stated that they never yell at residents and treat all of them respectfully. All other staff members stated that they have never witnessed any staff yelling at residents in the facility. During tour of the facility, LPA did not observe any staff members yelling at residents in the facility.

Based on statements and interviews conducted with staff, residents, review of client files and facility file records, 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 held, and a copy of this report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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