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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 11/06/2025
Date Signed: 11/06/2025 04:53:22 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
10/29/2025 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251029101156
FACILITY NAME:WHITTIER GLEN ASSISTED LIVINGFACILITY NUMBER:
198603162
ADMINISTRATOR:BARBA AGUIRRE, ITZAYANAFACILITY TYPE:
740
ADDRESS:10615 JORDAN RDTELEPHONE:
(562) 943-3724
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY:93CENSUS: 88DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Monica Guardian, administratorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff does not ensure residents care needs are being met.
Staff handled resident in a rough manner.
Staff speak to residents in an inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Cynthia Chan and Elena Mallett conducted the initial complaint investigation regarding the allegations listed above. LPAs arrived unannounced and met with the interim Administrator, Monica Guardian. The purpose of the visit was explained.

LPAs obtained copies of the staff roster, resident roster, and documents regarding Resident #1. Interviews were held with the administrator, seven (7) staff, and ten (10) residents. LPA attempted to interview Staff #1 but was unsuccessful.

The investigation revealed the following: Allegation - Staff does not ensure resident's care needs are being met. It is alleged that on 10/29/25, Staff #1 (S1) did not assist with changing Resident #1’s (R1) soiled diaper because R1 was changed not that long ago. LPAs interviewed the interim administrator and seven (7) staff. The administrator was aware of the incident, and an internal investigation was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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-20251029101156
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: WHITTIER GLEN ASSISTED LIVING
FACILITY NUMBER: 198603162
VISIT DATE: 11/06/2025
NARRATIVE
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Per the administrator and staff, S1 denied not assisting R1 in changing the adult brief. S1 acknowledged R1’s call button and checked the diaper but it was not soiled. Staff told the resident that the adult brief was not soiled but eventually fulfilled the request. Other staff interviewed have not heard or witnessed any staff not assisting residents when needed. Staff stated they check on the residents at least every 2 hours to ensure their adult briefs are not soiled. LPAs obtained a copy of the “Alarm History” for R1 on 10/28/25 through 10/30/25. The log shows that R1 had requested assistance during the overnight hours and S1 responded to the calls. Ten (10) residents were interviewed during the visit. One out of the ten residents stated that S1 refused to change the resident because the resident did not need a diaper change or was not changed too long ago. The rest of the residents did not have any concerns regarding S1 and that staff assist them with their needs when needed. Based on the information gathered, there is insufficient information to corroborate this allegation.

Allegation - Staff handled the resident in a rough manner. It is alleged that Staff #1 (S1) pulled the pendant off of Resident #1 (R1) and shoved the resident. Seven (7) of the Staff interviewed today stated they do not handle residents in a rough manner. Staff have not observed other staff shoving or pushing a resident or handling residents roughly. Nine (9) out of ten (10) residents do not feel that staff handle them in a rough manner. One of the residents stated that S1 was shoved as staff was grabbing the resident’s pendant and the string came apart. There were no witnesses to support this allegation, therefore, the allegation is unsubstantiated.

Allegation - Staff speak to residents in an inappropriate manner. It is alleged that Staff #1 (S1) engaged in an altercation because the resident kept pressing the call pendant. Staff interviewed have not witnessed other staff arguing with a resident. Staff stated they received training in communication with residents. Staff do not yell or talk back to residents inappropriately. Eight (8) out of the ten (10) residents stated that staff are respectful and do not engage in any altercations. Two (2) of the residents stated that staff have yelled at them when they needed assistance. The witness to this allegation stated that S1 did not exchange any inappropriate words with R1. S1 explained to R1 that resident was not wet and did not need to be changed. Based on interviews, there is insufficient evidence to corroborate this allegation.

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.

An exit interview was conducted with administrator M. Guardian. A copy of this report, along with the appeal rights, was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
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