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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603371
Report Date: 04/14/2026
Date Signed: 04/14/2026 10:51:13 AM

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
03/19/2026 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20260319135418
FACILITY NAME:CANDLELIGHT HOME GARDENGLENFACILITY NUMBER:
198603371
ADMINISTRATOR:JANE CUAFACILITY TYPE:
735
ADDRESS:419 SOUTH GARDENGLEN STREETTELEPHONE:
(626) 715-5653
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY:4CENSUS: 3DATE:
04/14/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jane CuaTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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Staff did not treat client with dignity or respect.
Staff did not follow client's behavioral plan.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent unannounced complaint visit to deliver finding to the above-mentioned allegations. LPA met with Administrator Jane Cua and explained the reason for visit.

The investigation consisted of the following: On 03/24/26 LPA obtained copies of Staff & Clients Rosters, interviewed Administrator, Staff 1 to Staff 3 (S1 to S3), Client 1 (C1) - Client 2 (C2). Client 3 (C3) and Client 4 (C4) were not interviewed due to limited verbal engagement. LPA also obtained copies of relevant documents and watched the video regarding the incident.

Continue 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
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-20260319135418
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: CANDLELIGHT HOME GARDENGLEN
FACILITY NUMBER: 198603371
VISIT DATE: 04/14/2026
NARRATIVE
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Regarding allegations. Staff did not treat client with dignity or respect and did not follow client's behavioral plan. It was alleged that S1 behaved rudely toward C1. Incident was recorded by C1 and the footage showed C1 approaching S1 while recording, and the staff responded with raised voice and negative verbal engagement and not adhering C1’s behavioral plan.

LPA review the video provided by C1. The video showed how S1 is yelling at C1 and threatening C1 that they will call the police when C1 will not stop to record them. Also it clearly shows on the video how S1 caricatures, parodying C1 and gesturing angrily pointing their finger at C1’s face. Then S1 follows C1 toward clients bedroom and continues to yell at C1, forcing C1 to get their medication and C1 telling S1 to give them space and they will take the medication. S1 continuing to yell, raise their voice at C1 escalating the situation and not adhering to C1’s behavioral plan. LPA review C1’s Individualized Program Plan (IPP) and Behavioral Plan, which indicates that C1 has a history of resistiveness / non – compliance behavior and Photographing / Videoing others without consent, and when those behaviors appears staff will redirect C1 calmly and to be model how to interact in a calmer manner. Also provide choices to provide C1 with some control over their situation. Interviewed Administrator stated that on 03/17/26 received an update from S1 that C1 is giving hard time to take their medications. Interviewed S1stated that C1 didn’t take their medication after 3 reminders and started to take a video following S1. S1 stated that they verbally prompted C1 to stop harassing, following staff. Interviewed S2 stated that on 03/17/26 around 9:30 pm S1 reminded C1 to take their medication, but C1 said give them more time and started to record S1. Interviewed S3 stated that during the incident between S1 and C1 they were not there and not sure what happened. Next day C1 told S3 about the argument but didn’t show the video. LPA interviewed C1 and C2. C1 showed the video to LPA and stated that on 03/17/26 S1 started to yell on them and C1 thoughts that because they didn’t take 8:00pm medication but later at 9:30 they took it. Interviewed C2 stated that they don’t know what happened between C1 and S1.

Based on LPA's observations, record reviews and interviews the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated.

Exit interview conducted and the copy of this report with Appeals Right were provided.

See attached LIC 9099D.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260319135418
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: CANDLELIGHT HOME GARDENGLEN
FACILITY NUMBER: 198603371
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/20/2026
Section Cited
CCR
80072(a)(1)
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Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.
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Administrator to conduct training to the staff, to ensure that clients are accorded dignity in their personal relationships with staff. Training to be completed by POC due date and a copy of training materials and participant list with signatures to be provided to LPA via email by POC due date.
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The requirement was not met as evidenced by:
Based on interviews and LPA’s observation of a video confirmed that staff did not treat client with dignity or respect. S1 yelled at C1 and gestured angrily pointing their finger at C1’s face. This poses a potential health and safety risk to persons in care.
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Type B
04/20/2026
Section Cited
CCR
85078(a)(1)
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Responsibility for Providing Care and Supervision
(a) In addition to Section 80078, the following shall apply:
(1) The licensee shall provide those services identified in the client's needs and services plan as necessary to meet the client's needs.
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Administrator to conduct training to the staff, to ensure that staff follow clients needs and services plan / behavioral plan.
Training to be completed by POC due date and a copy of training materials and participant list with signatures to be provided to LPA via email by POC due date.
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The requirement was not met as evidenced by:
Based on interviews, record reviews and observation of video confirmed that Client responded with a raised voice and engaged in negative verbal behavior; not adhering to C1’s behavioral plan. This 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: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3