198603328-2-17-2026-28-AS-RORN-DRVVQQ-20260305153843

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603328
Report Date: 02/17/2026
Date Signed: 02/17/2026 01:45:35 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
02/13/2026 and conducted by Evaluator Sanjay Vaid

COMPLAINT CONTROL NUMBER: 28-AS-20260213111631

FACILITY NAME:	A FAITHFUL HOME OF COVINA		FACILITY NUMBER:	198603328
ADMINISTRATOR:	DUONG, THANG		FACILITY TYPE:	740
ADDRESS:	1084 W GROVECENTER ST.		TELEPHONE:	(626) 244-9999
CITY:	COVINA	STATE: CA	ZIP CODE:	91722
CAPACITY:	6	CENSUS: 5	DATE:	02/17/2026
		UNANNOUNCED	TIME BEGAN:	08:04 AM
MET WITH:	Administrator, Glen Oriemo		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff inappropriately speak to resident
Staff do not follow infection control protocol

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Vaid conducted an intial unannounced vist to the facility, LPA Vaid was allowed entry by Administrator Glen Oriemo. LPA Vaid discussed the purpose of the visit with Administrator.

LPA Vaid collected and reviewed the following document, staff roster, residents roster, residents' face sheet, physicians report dated 04/08/2025, infection control plan reviewed and dated 01/15/2026, R1 vitals log sheet dated 02/2026, physician’s orders for one prescribed medication dated 12/12/2025 and one PRN medication dated 02/01/2026. Interviewed staff, residents. Toured the facility with Administrator and did not observe any health and safety concerns.

Regarding the allegation: Staff inappropriately speak to resident. It is alleged that the facility staff are speaking to residents in an inappropriate manner.

CONTINUED ON 9099C................

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

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 2

Control Number 28-AS-20260213111631

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: A FAITHFUL HOME OF COVINA	FACILITY NUMBER: 198603328
	VISIT DATE: 02/17/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Three of three staff interviewed deny this allegation. Staff stated they speak to all residents with respect and dignity and only raise their voice while speaking slowly to direct the residents who are hard of hearing. Staff stated they have never been rude or used anger towards the residents or the residents' needs. Staff stated they treat all the residents with kindness and love. Four of five residents interviewed cannot corroborate this allegation, according to residents interviewed stated the staff treat the residents with dignity and respect and treat the residents like family. Based on observations and interviews conducted, 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.

Regarding the allegation: Staff do not follow infection control protocol. It is alleged that the facility staff are not following the infection control plan and facility staff are not changing their gloves between residents. Three of three staff interviewed deny this allegation. Staff stated there are enough gloves and masks on hand. Staff stated they are changing gloves after assisting each resident, serving meals, cleaning the residents’ room and providing incontinent care. Staff stated they are using twelve to fifteen gloves each staff person per day, staff deny using the same gloves to assist residents. Staff stated using same gloves is unhealthy and against the infection control rules. Four of five residents interviewed could not corroborate this allegation. Residents interviewed stated they did not know of the infection control plan. Residents stated observing staff use gloves while assisting the residents with their assisted daily living needs. Review of the facility infection control plan outline infection control practices and semi-annual training. Gloving requirements are administered while assisting residents with grooming, incontinent care, and administering first aid. PPE products and supplies are kept at 3 months minimum supply. LPA Vaid observed staff changing gloves after assisting residents and tending to the residents needs. Based on observations between staff and residents, records review and interviews 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.

An exit interview was conducted and a copy of the licensing complaint report was given to Administrator Glen Oriemo.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2