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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603320
Report Date: 05/12/2026
Date Signed: 05/12/2026 03:13:27 PM

Substantiated


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
05/05/2026 and conducted by Evaluator Christian Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260505130501
FACILITY NAME:TOP CHOICE HOMESFACILITY NUMBER:
198603320
ADMINISTRATOR:HAYWOOD, MARSHAFACILITY TYPE:
735
ADDRESS:9134 ARMLEY AVE.TELEPHONE:
(626) 445-7100
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY:6CENSUS: 3DATE:
05/12/2026
UNANNOUNCEDTIME BEGAN:
02:19 PM
MET WITH:Leticia CaroTIME COMPLETED:
03:25 PM
ALLEGATION(S):
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Facility failed to report a special incident per the requirement.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christian Gutierrez conducted an initial complaint visit to investigate the above allegations. LPA met with DSP Leticia Caro and discussed the purpose of today's visit. Administrator Marsha Haywood was notified via telephone.

During this visit, LPA obtained a copy of the staff and client rosters. LPA conducted a phone interview with Marsha Haywood. LPA reviewed the Corrective Action Plan (CAP) addressing the above allegations issued by Eastern Los Angeles Regional Center dated 05/04/2026 with Marsha Haywood. Per Administrator Marsha Haywood, she agrees with the CAP findings and will be complying with the CAP.

SEE LIC 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
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 3
Control Number 28-AS-20260505130501
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: TOP CHOICE HOMES
FACILITY NUMBER: 198603320
VISIT DATE: 05/12/2026
NARRATIVE
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Allegation: Facility failed to report a special incident per the requirement. It is alleged that staff did not submit an incident report to Community Care Licensing about C1 going to emergency room within the reporting requirements time frame. During interview with Administrator, it was revealed that C1 went in for a regular follow-up doctor appointment on 03/13/2026 but ended up at the emergency room. Administrator stated that the incident happened on a Friday and that it unintentionally slipped her mind. Administrator stated this was not any fault of my staff and she takes full accountability for not notifying Licensing until 03/18/2026. Per Administrator, she agrees with the CAP findings and will be complying with the CAP. Per CAP report and Administrator Marsha Haywood’s agreement, this corroborates this allegation.

Based on interviews conducted and document review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiency is being cited according to California Code of Regulations, Title 22. Refer to LIC 9099D.

Exit interview conducted, appeal rights and this report was provided to Leticia Caro.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260505130501
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: TOP CHOICE HOMES
FACILITY NUMBER: 198603320
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
05/26/2026
Section Cited
HSC
80061
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80061 Reporting Requirements
(b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event.

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Administrator shall ensure all incident reports are reported within the required timeline.

Administrator will follow all CAP requirements and send to LPA by POC due date.
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Based on record review, on 03/13/26 , C1 went to emergency room and Administrator did not submit incident report to CCL until 03/18/26, which poses a potential health and safety risk to persons in care.
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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: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3