198603474-5-4-2026-28-AS-DSIS-DTYNWM-20260511104947

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603474
Report Date: 05/04/2026
Date Signed: 05/04/2026 05:11:33 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
12/17/2025 and conducted by Evaluator Gabriela Castro

COMPLAINT CONTROL NUMBER: 28-AS-20251217122844

FACILITY NAME:	HELIO		FACILITY NUMBER:	198603474
ADMINISTRATOR:	MARCELO, TAJ		FACILITY TYPE:	735
ADDRESS:	510 FOXPARK DRIVE		TELEPHONE:	(929) 429-0836
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY:	4	CENSUS: 4	DATE:	05/04/2026
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Janet Saldana, DSP		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff member physically abused resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced complaint visit on 05/04/2026 to deliver findings related to the above allegation. LPA was greeted by Aura Alarcio and explained the purpose of the visit. Administrator/Licensee Taj Roosi was then contacted via phone and informed of the purpose of the visit.

The investigation included a review of the client roster, staff roster, C1 face sheet, C1 physician’s reports, Special Incident Reports (SIRs), and a facility walkthrough. In addition, LPA conducted interviews with four (4) staff members (S1–S4), one (1) witness (W1), and four (4) clients (C2–C5).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

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-20251217122844

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: HELIO	FACILITY NUMBER: 198603474
	VISIT DATE: 05/04/2026

NARRATIVE

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Allegation:Staff member physically abused resident in care.

It is alleged that in or around July 2025, staff at the facility physically abused client 1 (C1) by pushing and twisting C1’s arm. During staff interviews, all staff denied the allegation and reported no knowledge of any incident involving physical abuse of C1. Staff denied the incident and reported no injuries were observed. During resident interviews, clients reported liking the facility and described staff as nice, did not express concerns regarding staff interactions, and witnessing any physical abuse. During witness interviews,W1 reported the allegation; however, they were not present and could not confirm if it occurred.

Based on the investigation conducted, which included interviews with staff, witnesses, and clients, 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: 05/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2026

LIC9099 (FAS) - (06/04)

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