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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603505
Report Date: 10/30/2025
Date Signed: 10/30/2025 02:52:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
10/22/2025 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251022115757
FACILITY NAME:REM CALIFORNIA, LLC - GLENWOODFACILITY NUMBER:
198603505
ADMINISTRATOR:VANESSA VASQUEZFACILITY TYPE:
735
ADDRESS:2418 GLENWOOD PLACETELEPHONE:
(323) 249-8299
CITY:SOUTH GATESTATE: CAZIP CODE:
90280
CAPACITY:4CENSUS: 4DATE:
10/30/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Stacey Cheat - Assistant AdministratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility did not report relocation of clients for fumigation.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced visit to investigate the above allegations. LPA met with Assistant Administrator Stacey Cheat and explained the purpose of the visit.

The investigation consisted of the following:
LPA toured facility and inspected kitchen, LPA reviewed 3 staff files, Obtained copies of Fumigation Invoices, Obtained copy of Email sent to LPA Pena reporting the fumigation and relocation of clients, and conducted interviews with Staff and Clients.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
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 5
Control Number 28-AS-20251022115757
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: REM CALIFORNIA, LLC - GLENWOOD
FACILITY NUMBER: 198603505
VISIT DATE: 10/30/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Facility did not report relocation of clients for fumigation.

It is alleged that facility staff did not report to licensing on the relocation for fumigation. LPA spoke with Assistant Administrator Stacey Cheat and it was explained that there was an email sent to licensing on 10/10/25 that indicated there would be a fumigation which was set to begin on 10/11/25 and last approximately 1-2 weeks. LPA was forwarded an email that was sent to the previous case carrying LPA Pena that stated the facility would be undergoing fumigation effective 10/11/2025 for approximately 7-14 days and provided each clients name and the location that they would be relocated temporarily at. LPA Pena has not been the case carrying LPA for the facility for the past year and LPA Herrera did not receive a copy of the email. LPA explained to Stacey that moving forward all incidents shall be faxed to the community care licensing fax number listed on LPA’s business card that was provided (323-980-4912) as this type of correspondence is monitored and will reach the appropriate LPA (or LPA’s coverage during any absence) in a timely manner.

Based on statements and interviews conducted with staff and review of records, there was not enough supportive evidence to concur with 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 held, and a copy of this report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
10/22/2025 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251022115757

FACILITY NAME:REM CALIFORNIA, LLC - GLENWOODFACILITY NUMBER:
198603505
ADMINISTRATOR:VANESSA VASQUEZFACILITY TYPE:
735
ADDRESS:2418 GLENWOOD PLACETELEPHONE:
(323) 249-8299
CITY:SOUTH GATESTATE: CAZIP CODE:
90280
CAPACITY:4CENSUS: 4DATE:
10/30/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Stacey Cheat - Assistant AdministratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Staff did not ensure facility is kept free of pests.
Facility staff does not meet client needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced visit to investigate the above allegations. LPA met with Assistant Administrator Stacey Cheat and explained the purpose of the visit.

The investigation consisted of the following:
LPA toured facility and inspected kitchen, LPA reviewed 3 staff files, Obtained copies of Fumigation Invoices, Obtained copy of Email sent to LPA Pena reporting the fumigation and relocation of clients, and conducted interviews with Staff and Clients.

(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 28-AS-20251022115757
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: REM CALIFORNIA, LLC - GLENWOOD
FACILITY NUMBER: 198603505
VISIT DATE: 10/30/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff did not ensure facility is kept free of pests.


LPA interviewed 6 staff and each staff confirmed the reported allegation. Staff stated that the infestation has been ongoing since early April and different fumigations have been conducted, however, the issue would return. Staff stated that there was a fumigation that began 10/11/25 where staff and clients were relocated to a sister facility and returned to facility on 10/26/25. Interviews with 3 staff confirmed since returning to the facility they have not experienced any further flea issues. Interviews with 3 clients revealed that clients had been relocated to a sister facility, upon return they have no longer felt itchy or had any bites. LPA obtained copies of the invoices from fumigation service provided. Invoice dated 9-25-25 – documented that there was a service interior for fleas, Invoice dated 10-9-25 – documented that service for redo fleas. Ants/black widow spiders/American roaches/Cricket (follow up service), Invoice dated 10-28-25 – documented service for recheck of facility, reg monthly service check up for black fleas/ants/black widow spiders/American roaches/cricket.

Allegation: Facility staff does not meet client needs.


It is alleged that facility has been borrowing staff from sister facilities and day program, and staff that are providing coverage are not knowledgeable in the needs for individuals at the facility. LPA reviewed 3 staff filed and each staff had documentation of valid First-Aid/CPR/AED and CPI, along with proof of initial training. During interviews with staff 4 out of 6 interviews conducted confirmed the above allegation. Interview with S6 revealed that staff was sent to assist facility, upon being instructed to provide care and supervision S6 was not provided with the proper training for the individuals as they were not given a review of what each clients behaviors, preferences or triggers are. LPA reviewed S6 file and observed that their training in review of clients IPP was conducted in 2023, however, this training is for licensees day program, not Glenwood in which staff just started with in the beginning of October 2025.

Based on LPAs observations, interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division (LIST NUMBER) and Chapter (LIST NUMBER) are being cited on the attached LIC 9099D. Exit interview held, and a copy of this report and appeal rights were provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20251022115757
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: REM CALIFORNIA, LLC - GLENWOOD
FACILITY NUMBER: 198603505
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/31/2025
Section Cited
CCR
80087(a)(1)
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80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. (1) The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met as evidence by:
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LPA received copies of invoices dated 9/25/25, 10/9/25 and 10-28-25 that proof facility has undergone fumigation to get rid of flea infestation.
Administrator/Licensee to email LPA with a plan that states how facility will ensure the infestation does not reoccur, plan/email is to be sent to LPA by POC due date. tena.herrera@dss.ca.gov
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Per interviews with 6 staff and 3 clients, each confirmed the facility did have a flea infestation and has under gone fumigation that began 10/22/25 until 10/26/25. LPA also reviewed invoices from fumigation services that indicated facility was treated for fleas and other insects, which causes an immediate health risk for the clients in care.
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Type B
11/06/2025
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 was not met as evidence by:
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Administrator/Licensee to ensure all staff that are being used for coverage at Glenwood facility or that have just assigned to Glenwood facility receive the proper training needed to provide the services necessary to meet each clients needs. Training must be completed by POC due date and a copy of the training review and training log with participant name/signature to be provided to LPA via email on or prior to POC due date (the date of training must also be documented)
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Per interviews with 6 staff, 4 out of the 6 confirmed the above allegation revealing that staff that are being brought for coverage from sister facilities and/or day programs are not trained in the needs for the individuals at the Glenwood facility, although they have been provided with a general training they are not being trained to care for the individuals at Glenwood facility and have not been provided with IPP for review prior to providing care and supervision.
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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: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5