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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603448
Report Date: 05/08/2026
Date Signed: 05/08/2026 05:09:51 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
02/22/2026 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260222223056
FACILITY NAME:PEOPLE'S CARE FELLOWSHIPFACILITY NUMBER:
198603448
ADMINISTRATOR:DE LUNA, JANETFACILITY TYPE:
735
ADDRESS:15762 FELLOWSHIP STREETTELEPHONE:
(909) 287-3557
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:4CENSUS: 4DATE:
05/08/2026
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Janet Trujillo, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff mismanage client medications.
Staff do not maintain adequate medication records.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to deliver findings. LPA met with Administrator Janet Trujillo, and explained the reason for the visit.

On 3/3/26, LPA Chan conducted the initial visit. LPA toured the facility, reviewed medications and P&I records, and interviewed three (3) staff and one (1) client. LPA obtained copies of the staff roster, client roster, medication audit sheets, and incident report. An additional three (3) staff and two (2) clients were interviewed via telephone on 3/6/26.

The investigation revealed the following:
Allegations - Staff mismanage client medications, and Staff do not maintain adequate medication records. The administrator acknowledged there was a medication error that occurred back in January 2026. Staff discovered that one of Client #1’s medications (Ferosul 325 mg) was not given as prescribed.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
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 6
Control Number 28-AS-20260222223056
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: PEOPLE'S CARE FELLOWSHIP
FACILITY NUMBER: 198603448
VISIT DATE: 05/08/2026
NARRATIVE
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The administrator stated that the medication administration record (MAR) log was marked as given, but the medication was still in the bubble pack. Staff interviewed stated that a staff on each shift will perform a 15-minute post-medication check after medications are administered to the clients. It was found that the staff did not administer the medication or conduct the medication review correctly, resulting in Client #1 missing a dose of Ferosul. The facility had submitted an incident report to Community Care Licensing regarding this error when it occurred. Staff stated that they receive medication training annually and as needed. LPA interviewed three (3) clients, and all three (3) stated they are given their medications daily and on time. During the visit on 3/3/26, LPA reviewed the medication and MAR logs. There were no additional errors found. Based on the interview and record review, the allegation is deemed substantiated.

Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 1), are being cited on the attached LIC 9099D.

An exit interview was conducted. A copy of this report and appeal rights were provided to the Administrator.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 28-AS-20260222223056
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: PEOPLE'S CARE FELLOWSHIP
FACILITY NUMBER: 198603448
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/09/2026
Section Cited
CCR
80075(b)
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80075 Health Related Services (b) Clients shall be assisted as needed with self-administration of prescription and nonprescription medications.
This requirement is not met as evidenced by:
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The administrator shall provide a plan to ensure staff are retrained on medication and submit to LPA by 5/9/26.

**Administrator submitted documentation of staff training. POC is being cleared today.
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Based on record review and interview, the medication for C1 was not administered as prescribed which posed an immediate health and safety risk to clients in care.

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Type A
05/09/2026
Section Cited
CCR
80065(a)
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80065 Personnel Requirements (a) Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs.
This requirement is not met as evidenced by:
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The administrator shall provide a plan to ensure staff are documenting medication when given and submit to LPA by 5/9/26.

**Administrator submitted documentation of staff training. POC is being cleared today.
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Based on record review and interview, staff inaccurately initial the MAR log as given which poses an immediate health and safety risk to clients 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: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
02/22/2026 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260222223056

FACILITY NAME:PEOPLE'S CARE FELLOWSHIPFACILITY NUMBER:
198603448
ADMINISTRATOR:DE LUNA, JANETFACILITY TYPE:
735
ADDRESS:15762 FELLOWSHIP STREETTELEPHONE:
(909) 287-3557
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:4CENSUS: 4DATE:
05/08/2026
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Janet Trujillo, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff do not ensure client’s toileting needs are met.
Staff do not ensure that client’s hygiene needs are met.
Staff have not adequately addressed pests in the facility.
Staff mismanage client P&I fund.
Facility is violating clients’ personal rights to outings.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to deliver findings. LPA met with Administrator Janet Trujillo, and explained the reason for the visit.

On 3/3/26, LPA Chan conducted the initial visit. LPA toured the facility, reviewed medications and P&I records, and interviewed three (3) staff and one (1) client. LPA obtained copies of the staff roster, client roster, medication audit sheets, and incident report. An additional three (3) staff and two (2) clients were interviewed via telephone on 3/6/26.

The investigation revealed the following:
Allegation - Staff do not ensure client’s toileting needs are met. It is alleged that Client #1 (C1) is always soiled and has slept in urine. Staff interviewed stated that they are taking C1 to the restroom when C1 signals to go and about every 2 hours during the night shift.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 28-AS-20260222223056
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: PEOPLE'S CARE FELLOWSHIP
FACILITY NUMBER: 198603448
VISIT DATE: 05/08/2026
NARRATIVE
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Staff indicated that there had been times when C1 soiled the bed at night, but staff will change C1 and the bedding immediately. Staff do not leave the client sleeping in the wet bed. LPA interviewed three (3) clients, and none of them needed assistance with toileting. Clients mentioned that the staff will assist one of the clients to the restroom when needed.

Allegation - Staff do not ensure that client’s hygiene needs are met. LPA interviewed six (6) staff. Staff stated that the clients shower daily and only one needs assistance with bathing. Staff will shower the client daily. The other three (3) are provided with reminders. LPA observed the clients to be well-groomed and with no body odor. The three (3) clients interviewed stated that they can shower themselves and do so every day so that they can stay clean.

Allegation - Staff have not adequately addressed pests in the facility. It is alleged that there are rats and feces everywhere. Four (4) out of six (6) staff interviewed have not observed any pests in the home. Two (2) staff interviewed indicated that there were two mice recently found in the laundry room, but they were caught. Staff stated that they sometimes prop open the door as they are cleaning to air out any smell. Staff stated there are mouse traps outside of the facility. The pest control technician comes once a month to spray the perimeter and change the mouse boxes. None of the clients had seen any rats or other pests around the house. Clients stated the house is kept clean. LPA toured the facility and did not observe any pests or droppings. There are rodent traps located outside of the home.

Allegation - Staff mismanage client P & I fund. It is alleged that the P&I money is always missing. Staff interviewed stated that the Personal and Incidental (P&I) funds are locked in a safe. Only the administrator and another staff have access to the lock box and will distribute the money to the clients. The clients will sign off when money is received. Clients interviewed stated that they request money weekly, and staff will give it to them. LPA checked the P&I ledger, and the funds are accurately maintained at the facility. LPA observed signatures on the ledgers when clients received cash. There were no discrepancies found.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 28-AS-20260222223056
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: PEOPLE'S CARE FELLOWSHIP
FACILITY NUMBER: 198603448
VISIT DATE: 05/08/2026
NARRATIVE
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Allegation - Facility is violating clients’ personal rights to outings. Staff interviewed stated that they hold a resident council meeting once a month, and the clients write down where they would like to go. Staff will take them out when they request it. Staff stated that they take clients to the stores and for walks around the neighborhood and parks. LPA interviewed three (3) clients. Clients stated that the staff would take them out when they wanted. Clients also stated that there are not many places they want to go and prefer to stay home at times.


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 Administrator. 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: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6