198603269-2-20-2026-28-AS-LHIS-DRTPQT-20260303103137

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603269
Report Date: 02/20/2026
Date Signed: 02/20/2026 04:18:13 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
02/14/2026 and conducted by Evaluator Bennette Pena

COMPLAINT CONTROL NUMBER: 28-AS-20260214172053

FACILITY NAME:	CENTER FOR BEHAVIORAL CHANGE #8		FACILITY NUMBER:	198603269
ADMINISTRATOR:	JASON PIGGEE		FACILITY TYPE:	735
ADDRESS:	645 S. INMAN ROAD		TELEPHONE:	(323) 816-4462
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91791
CAPACITY:	4	CENSUS: 4	DATE:	02/20/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Karla Williams - Facility Manager La Tonya King - Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff hit 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 Karla Williams, Facility Manager and explained the reason for the visit. Shortly after, La Tonya King, Administrator arrived and assisted LPA.

The investigation consisted of the following: LPA obtained copies of Staff & Client Rosters, staff schedule, West Covina Police Dept. information/case number (12/13/2026), Staff #1 (S1) files including training from the last 6 months, Personal Rights training, Personnel Records and other pertinent files. LPA also obtained copies of Client #1 (C1)'s files such as Face sheet/Emergency and Identification information, Individual Program Plan/IPP (04/09/2025), latest Behavioral assessment, Admission Agreement and Medical assessment. LPA interviewed Staff #1 (S1) - Staff #5 (S5) and Client #1 (C1). LPA attempted to interview Client #2 (C2), but refused and Client #3 (C3) was unsuccesful due to cognitive abilities. Client #4 (C4) was out in the community, therefore not interviewed.*****CONTINUED ON LIC809-C*****

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

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-20260214172053

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: CENTER FOR BEHAVIORAL CHANGE #8	FACILITY NUMBER: 198603269
	VISIT DATE: 02/20/2026

NARRATIVE

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The investigation revealed the following:

In regards to the allegation " Staff hit resident.” It is alleged that a client was hit on the head with a closed fist by a staff member. On 02/11/2026, the client reported to the administrator that the incident allegedly happened on 02/09/2026, in the presence of another staff who did not say anything. All (5) staff interviewed denied the allegation and stated they had never hit C1 nor had seen any staff hit C1 or any clients. Interview with S1 revealed that C1 called their family member repeatedly on Monday afternoon, February 9, 2026, to ask them to bring dinner for them, but they never answered, which made C1 upset. Staff stated that C1 took their evening medication, went to sleep and did not show any aggression. S1 stated there was no hitting. S1 also stated that the Administrator called S1 on 02/11/2026 and was put on leave until investigation was completed. Staff indicated that West Covina Police arrived on 02/13/2026 to investigate the alleged incident but there were no findings. On the same day, paramedics came and checked C1's vital signs and did a body check, but they didn't bring C1 to the hospital. C1's interview revealed that they lied and C1 recanted their story. C1 stated that S1 did not hit them. Additionally, C1 stated that C1 just apologized to S1 earlier and felt bad about lying. Review of C1's most recent Individual Program Plan (IPP) indicates that C1 has a history of attention seeking and fabrication. Per Quality Assurance representative, the Regional Center is currently reviewing the claim and a report will be sent once completed.

Based on statements and interviews conducted with client 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 La Tonya King, Administrator.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

LIC9099 (FAS) - (06/04)

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