198603300-2-3-2026-28-AS-FFIS-DRL3R5-20260223172806

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603300
Report Date: 02/03/2026
Date Signed: 02/03/2026 05:56:35 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
12/10/2025 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251210122510

FACILITY NAME:	JOHNSON FAMILY HOME		FACILITY NUMBER:	198603300
ADMINISTRATOR:	JOHNSON, ANTHONY		FACILITY TYPE:	735
ADDRESS:	15355 LAS VECINAS DRIVE		TELEPHONE:	(323) 804-5062
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	4	CENSUS: 3	DATE:	02/03/2026
		UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Anthony Johnson, licensee		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff do not ensure that client receives mail at the facility.
Staff forces clients to perform activities of daily living.
Staff do not allow client to possess personal belongings.
Staff do not maintain accurate client cash resources.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit for the allegations listed above. LPA met with the licensee, Anthony Johnson, and provided the reason for the visit.

On 12/16/25, LPA Chan conducted the initial visit and collected the staff roster, resident roster, and documents regarding Client #1. Interviews were conducted with the administrator via telephone, one staff, and two clients. On 1/23/26, LPA interviewed one staff and Client #1 via telephone. During the visit today, LPA interviewed another staff member.

The investigation revealed the following:
Allegation – Staff do not ensure that client received mail at the facility. According to the administrators, the mail is given to the clients on the same day of delivery.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026

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-20251210122510

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: JOHNSON FAMILY HOME	FACILITY NUMBER: 198603300
	VISIT DATE: 02/03/2026

NARRATIVE

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The administrators and sometimes other staff sort out the mail to give to the clients or place on their beds if they are not home. Staff stated they do not open their mail and do not know what kind of mail they receive unless the clients ask the staff to help them read it. Staff stated that Client #1 (C1) had not asked them to look at any letter/mail, and therefore, they did not know that C1 had paperwork that needed to be renewed. All three (3) clients interviewed stated that they get their mail and that the staff do not open them. Two (2) out of (3) who receive mail will ask staff to read their mail if they need help understanding it.

Allegation – Staff forces clients to perform activities of daily living. It is alleged that staff force the client to shower and groom because those are the house rules. The administrator and staff interviewed denied forcing the clients to shower and/or groom themselves. Staff stated they will provide reminders or verbal prompts to clients since all three (3) clients can do their own activities of daily living. Staff will encourage the clients to continue good hygiene but stated that it is the clients’ choice if they do so or not. LPA interviewed three (3) clients, and they all stated that the staff do not force them to shower or brush their teeth/hair if they do not want to. However, they all stated that they have been showering daily.

Allegation – Staff do not allow clients to possess personal belongings. It is alleged that staff do not allow Client #1 (C1) to take the cell phone during outings. Administrator stated that nobody told the clients they cannot take their cell phones when the staff take them on outings. Administrator explained that there was a time when C1 was having an inappropriate video chat and surrounding people felt uncomfortable. After that incident, the administrator informed C1 about the client’s rights and respecting other people’s boundaries and advised that it is probably best if C1 keeps the phone at home when they go on outings together. Staff stated that C1 chooses not to bring out the cell phone when they go out together, however,will take the cell phone when going in the community on own. All three (3) clients interviewed stated that they are allowed to take their cell phones whenever they go out, and staff do not force them to keep the phones at home.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20251210122510

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: JOHNSON FAMILY HOME	FACILITY NUMBER: 198603300
	VISIT DATE: 02/03/2026

NARRATIVE

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Allegation – Staff do not maintain accurate client cash resources. Staff stated that two (2) out of the (3) clients receive Personal and Incidental (P&I) funds monthly, and the other does not receive any due to client having a job. The clients can request for their money anytime and staff will issue the money. LPA reviewed the P&I ledgers for two clients and there was no discrepancy found. The records show that clients signed after each time cash is withdrawn or purchase made. LPA interviewed three (3) clients. All stated that the staff will give them their money when they ask and sign off on the log.

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 the licensee. 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: 02/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026

LIC9099 (FAS) - (06/04)

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