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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603467
Report Date: 04/09/2026
Date Signed: 04/09/2026 12:03:27 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
04/06/2026 and conducted by Evaluator Gabriela Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260406113901
FACILITY NAME:PEOPLE'S CARE LOMITASFACILITY NUMBER:
198603467
ADMINISTRATOR:JILLIAN FLORESFACILITY TYPE:
738
ADDRESS:14055 LOMITAS AVENUETELEPHONE:
(626) 474-2500
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:4CENSUS: 3DATE:
04/09/2026
UNANNOUNCEDTIME BEGAN:
08:44 AM
MET WITH:Saddiq Frazier, Asst. AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff is abusing client.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced complaint visit on 04/09/2026 to deliver findings related to the above allegation. LPA was greeted by Jade Tigilau, who was informed of the purpose of the visit. Shortly thereafter, Siddiq Frazier Assistant Administrator arrived.

The investigation included a review of facility records, including the staff roster, resident face sheets, physician’s reports, Individual Program Plan (IPP), and Behavioral Data Collection Record for C1. LPA also conducted interviews with seven staff members (S1–S7), two witnesses (W1–W2), and three residents (C1–C3).

(continued 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 28-AS-20260406113901
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 LOMITAS
FACILITY NUMBER: 198603467
VISIT DATE: 04/09/2026
NARRATIVE
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Allegation: Staff are abusing client.

It is alleged that staff are abusing a client. During staff interviews (S1–S7) reported similar roles involving supervision of clients, assistance with daily living needs, and support with behaviors. Each staff member denied observing, hearing, or being aware of any concerns, incidents, or conflicts involving C1 and staff. Several staff described C1 as vocal and capable of expressing concerns if needed. Overall, staff reported a positive view of the facility environment and denied any concerns regarding staff treatment of clients. During client interviews C1-C3 clients reported feeling comfortable and generally satisfied with living at the facility. No concerns or allegations of abuse or inappropriate treatment by staff were reported during the interviews. During the witness interview, W1 indicated no personal concerns regarding C1’s care, described staff as respectful and appropriate, and reported that C1 has not expressed any complaints or concerns about the facility. LPA contacted San Gabriel/Pomona Regional Center representative, who reported that, following their review and follow-up, no concerns were identified regarding the care of C1.

Based on the investigation conducted, which included interviews with staff, witnesses, and residents, as well as a review of relevant records, there was insufficient evidence to support the reported allegation. 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. Exit interview was held, and a copy of this report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
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