198603162-11-17-2025-28-AS-DSIS-DP2PC3-20251204101114

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603162
Report Date: 11/17/2025
Date Signed: 11/17/2025 05:49:11 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
10/21/2025 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251021104817

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: 89	DATE:	11/17/2025
		UNANNOUNCED	TIME BEGAN:	08:47 AM
MET WITH:	Monica Guardian - Operations Manager		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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Staff did not ensure resident's showering needs were met.
Staff threatened resident.
Staff retaliated against resident for reporting.
Staff wrongfully evicted resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent complaint visit to address the allegations listed above. LPA met with Monica Guardian and explained the purpose of the visit.

The investigation consisted of:
On 10/30/25 LPA Daniel Konishi conducted a unannounced initial 10-day complaint visit and obtained a copy of the staff/resident rosters. Further investigation was needed.
During todays visit 11/17/25 LPA Herrera conducted a subsequent visit, LPA toured facility, obtained copies of the following Physician Reports for R1 and R2, Food Menu, House Rules, Showering Schedule, Elevator Repair Invoices and Staff/Resident Rosters.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025

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-20251021104817

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: 11/17/2025

NARRATIVE

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The investigation revealed the following:
Allegation: Staff did not ensure resident's showering needs were met.
It is alleged that staff refused to assist R1 with a shower as R1 could not shower during scheduled time due to a family visit, staff also allegedly refused to assist with shower the following day as well. LPA interviewed 4 staff and each denied the allegation, stating that residents have a shower schedule and if they are needed with an additional shower one will be provided when as long as a caregiver has the availability. LPA interviewed 8 residents and 6 out of 8 residents denied the allegation and stated they have never been refused assistance with showers by staff.
Allegation: Staff threatened resident.
It is alleged that that 2 residents were informed of R1’s allegations against staff and threatened R1 and stated to keep S2’s name out of R1’s mouth. LPA interviewed 4 staff and each denied the above allegation, S2 stated that they never speak with residents regarding other residents issues and believe that residents overheard R1 when R1 was shouting at S2 about their showering. Interviews with staff also revealed that R1 was verbally aggressive towards staff and residents which made staff uncomfortable when left unattended with R1 and R1 was then placed on a two person assist when bathing. LPA interviewed 8 residents and 7 out of 8 residents denied the allegation, and stated they have never felt threatened by staff.
Allegation: Staff retaliated against resident for reporting.
It is alleged that R1 is being retaliated against as they have reported to upper management their concerns and feel staff (S2) are now refusing to assist with showers. LPA interviewed 4 staff and each denied the allegation, S2 stated there was not a refusal however since R1 had been aggressive towards staff there was an adjustment made to R1’s showering where R1 will need a 2 person assist. LPA interviewed 8 residents and 7 out of 8 residents denied the allegation and stated that they have never felt retaliated against by staff.
Allegation: Staff wrongfully evicted resident.
It is alleged that R1 is being evicted as S3 has asked R1’s sister to remove belongings and R1 has no where else to go. LPA interviewed 4 staff and each denied the above allegation, interviews with S1-S3 reveled that R1 was never evicted and had voluntarily discharged from the facility and was placed in a board and care of their preference. LPA interviewed 8 residents and each denied the allegation and stated they have never been evicted or issued an eviction noticed. R1 stated that while hospitalized they asked to be sent to a board and care and they voluntarily left the facility and are now at a now facility of their liking.
Continued on LIC9099-C

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20251021104817

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: 11/17/2025

NARRATIVE

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Based on statements and interviews conducted with staff/residents, and review of client files, and LPA observations, 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 report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025

LIC9099 (FAS) - (06/04)

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