198603289-5-8-2026-28-AS-WSHO-DTYLR4-20260511085831

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603289
Report Date: 05/08/2026
Date Signed: 05/08/2026 01:44:55 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/23/2026 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260223154641

FACILITY NAME:	KAISER BEHAVIORAL CENTER WEST COVINA		FACILITY NUMBER:	198603289
ADMINISTRATOR:	JANET DE LUNA		FACILITY TYPE:	775
ADDRESS:	1532 AMAR ROAD STE B		TELEPHONE:	(626) 945-0790
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91790
CAPACITY:	75	CENSUS: 45	DATE:	05/08/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Carmela Valadez Site Supervisor		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not transport clients in a safe manner.

INVESTIGATION FINDINGS:

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The purpose of the visit today 5/8/2026 is to issue citation for personnel requirements which is a better fit to replace the personal rights citation issued 3/27/2026.
The initial visit was conducted on 3/27/2026 and included the following:
Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced subsequent complaint visit regarding the above allegation. LPA met with Carmela Valadez Site Supervisor and the purpose of the visit was explained.
The initial visit was conducted on 2/26/2026 and the investigation consisted of the following: LPA obtained copies of Staff & Client Rosters, interviewed Lead Supervisor Ka Lee and Staff S1.
File for Staff S1 was reviewed and LPA obtained copies of relevant documents.
At today's visit 3/27/2026 interviews were conducted with Client's C1-C6, Staff S1 and Staff S2 and Carmela Valadez Site Supervisor.
In regards to the allegation Staff did not transport clients in a safe manner, based on interviews conducted and information gathered it was revealed by Staff S1 that she picked up her phone that was in the cup holder.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

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-20260223154641

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: KAISER BEHAVIORAL CENTER WEST COVINA	FACILITY NUMBER: 198603289
	VISIT DATE: 05/08/2026

NARRATIVE

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to look at Google maps. Said it was only for 2 seconds and the police were behind the facility van.
Stated that she called the Program Manager and let her know what had happened. Said when back at the facility she met with Program Manager and Lead Supervisor. Was put on Administrative leave and clocked
out.
S1 then spoke with Lead Supervisor and told her that she was driving and picked up the phone to look at GPS and got stopped by the police.
She was put on leave.
Spoke with Staff S2 who stated that Staff S1 had been pulled over by police for briefly looking at GPS on the phone. Said S1 was upset and crying and didn't not know if she can work again.
Spoke with Staff S3 who stated that she was on the van and stated that Staff S1 did pick up the phone to look at GPS in order to find out where to exit. Said police did pull them over and issued a ticket.
Spoke with Carmela Valadez Site Supervisor who stated that Staff S1 had called the Day Program and stated that she was using GPS on the phone. Said S1 after being put on leave came back to work and did retraining. Also did another driving test with the district manager.
Also stated that S1 spoke at an in service training on the topic of safe driving.
Client's C1- C6 all stated that there have been no issues with the facility van picking them up in the morning and taking them home. Also all were not aware of the incident involving the van being stopped by the police.

Based on the LPA's observation, interviews conducted with staff and clients the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

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Exit Interview conducted and copy of the report and appeal rights were provided to Carmela Valadez Site Supervisor.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260223154641

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: KAISER BEHAVIORAL CENTER WEST COVINA	FACILITY NUMBER: 198603289
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/08/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/27/2026 Section Cited CCR 82065(a)	1 2 3 4 5 6 7	Personnel Requirements 82065(a) Program personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Facility is to ensure that Title 22 Section 82065(a) regulations are met at all times. Additionally, facility will conduct an in-service training with all staff regarding this regulation and submit a sign in sheet with all staff signatures to CCLD by POC Due Date.
	8 9 10 11 12 13 14	Based on interviews conducted and information obtained Staff S1 did not ensure competency to provide the services necessary which poses an immediate health, safety and personal rights risk to residents in care.	8 9 10 11 12 13 14	Deficiency was cleared on 03/27/2026.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

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