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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603328
Report Date: 03/10/2026
Date Signed: 03/10/2026 05:49:06 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
03/02/2026 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260302141558
FACILITY NAME:A FAITHFUL HOME OF COVINAFACILITY NUMBER:
198603328
ADMINISTRATOR:DUONG, THANGFACILITY TYPE:
740
ADDRESS:1084 W GROVECENTER ST.TELEPHONE:
(626) 244-9999
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:6CENSUS: 4DATE:
03/10/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Glenn Oriemo, Lead CaregiverTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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1. Illegal eviction.
2. Staff damaged residents personal property.
3. Staff do not ensure resident is treated with dignity and respect.
4. Staff do not ensure resident has access to the internet in the facility.
5. Licensee did not ensure resident's personal property was inventoried.
6. Staff do not ensure care needs are being met in a timely manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation on the allegations listed above. LPA arrived unannounced and met with the Lead caregiver, Glenn Oriemo. The purpose of the visit was explained.

LPA obtained copies of the resident and staff rosters, toured the facility, and reviewed documents for Resident #1 (R1). Interviews were conducted with Staff #1 - #4 and Residents #1 #3.

The investigation revealed the following:
Allegation – illegal eviction. It is alleged that the staff hacked into Resident #1’s bank account and caused the rent checks to bounce, which made R1 to be behind in rent payments. LPA obtained and reviewed a copy of the 30-day eviction letter to R1. The dates and reasons for the eviction were listed and deemed valid.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
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-20260302141558
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: 03/10/2026
NARRATIVE
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LPA interviewed staff who denied having access to R1’s bank account which caused R1 to not pay rent on time. Staff stated that the main reason for the eviction was due to R1 causing health and safety risks to others at the facility. LPA interviewed R1 who denied causing any harm to others and indicated that the rent was not paid in full. The other residents interviewed was never served an eviction notice. There is insufficient evidence to corroborate this allegation.

Allegation - Staff damaged resident’s personal property. It is alleged that staff broke 2 of the resident’s iPads. LPA interviewed four (4) staff, and all stated they did not break any of the residents’ personal items. Staff interviewed indicated that Resident #1 (R1) does not allow staff to touch the personal belongings in the room. Staff stated that R1 would yell at staff and accuse staff of breaking things. Staff noted that they will only go into R1’s room when R1 is home to clean the room if allowed. LPA interviewed three (3) residents. Two (2) out of three (3) never had anything taken or broken by the staff. One (1) stated that the staff dropped both iPads while cleaning the room. There is insufficient evidence to corroborate this allegation.

Allegation - Staff do not ensure resident is treated with dignity and respect. It is alleged that staff are mean and threw a can of soda at the resident. In addition, staff would say things like “if you don’t like it here, then leave.” LPA interviewed staff who all denied mistreating the residents. Staff stated that R1 tends to yell at staff, but staff do not raise their voices or yell back. Staff received training on resident rights and to use de-escalation techniques to manage residents’ behaviors. Staff stated they do not threaten the residents but only explain to them that he/she can move if not happy at the home. Two (2) out of three (3) residents interviewed like residing at the facility and feel that the staff are nice and treat them with respect. There is insufficient evidence to corroborate this allegation.

Allegation - Staff do not ensure resident has access to the internet in the facility. It is alleged that the Wi-Fi was turned off to punish the resident. LPA toured the facility and observed a television in each room and in the living room. Per staff, the televisions are equipped with internet access and are working properly. The Wi-Fi is also provided for their electronic devices. Staff explained that R1 wanted access to Netflix and asked the staff to enter their information to access the account. According to staff, the resident has their own email and password for the website. LPA interviewed three (3) residents. One (1) out of the three (3) stated that the Wi-Fi in the room is not working and cannot access anything on the iPad. Another resident stated that the internet service has been working and has no issues going on the tablet. There is insufficient evidence to corroborate this allegation.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260302141558
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: 03/10/2026
NARRATIVE
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Allegation - Licensee did not ensure resident's personal property was inventoried. It is alleged that the owner did not do an inventory of the resident’s personal property upon moving in. Per the staff, Resident #1 (R1) did not allow staff to check any belongings upon moving in, therefore, no items were listed on the resident personal property and valuables form. LPA reviewed the property and valuable form for R1 and did not see any items listed. LPA observed several devices and items in R1’s room. R1 stated that the staff never wrote down what items were brought to the facility but also mentioned that the resident did not want any staff looking or touching his/her personal belongings. Another resident interviewed could not remember if any items were listed on the form but stated that there were only a few non-valuable things brought to the facility. Based on information gathered, there is insufficient evidence to corroborate this allegation.

Allegation - Staff do not ensure care needs are being met in a timely manner. It is alleged that it will take the staff 45 minutes to bring a glass of water for the resident. LPA toured the facility and observed call buttons in the residents’ rooms and a water dispenser in the living room. Per staff, when a resident presses the button, it will alert the staff, and staff can see which room number is calling. Staff denied taking a very long time to tend to the residents’ needs. Staff explained that sometimes the call may take a few minutes due to assisting another resident in the shower/toilet but never 45 minutes. LPA interviewed three (3) residents, and two (2) stated that staff assist them with their needs in a timely manner.

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 Staff G. Oriemo. 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: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3