198603507-4-26-2026-28-AS-DSIS-DTNN3L-20260501100629

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603507
Report Date: 04/26/2026
Date Signed: 04/26/2026 08:47:58 AM

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
03/26/2026 and conducted by Evaluator Christian Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260326085425

FACILITY NAME:	REM CALIFORNIA, LLC - NECTAR		FACILITY NUMBER:	198603507
ADMINISTRATOR:	DIAZ, JESSICA		FACILITY TYPE:	735
ADDRESS:	20832 NECTAR AVE		TELEPHONE:	(562) 809-1950
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90715
CAPACITY:	4	CENSUS: 4	DATE:	04/26/2026
		UNANNOUNCED	TIME BEGAN:	08:32 AM
MET WITH:	Mercedes Dominguez DSP		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Staff did not prevent residents from engaging in a physical altercation

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced subsequent complaint visit in response to the above allegations. LPA met with DSP Mercedes Dominguez who assisted with today’s visit.

The investigation consisted of the following: During the initial visit conducted on 03/30/2026 LPA obtained staff roster, client roster, client #1-client #2 (C1-C2) face sheet, Individual Program Plan (IPP), physicians’ reports (602), and special incident reports (SIR), LPA interviewed one staff, and one client. On 04/24/26 LPA interviewed Administrator, Area Manager, staff#1-staff #2, and clients 1-clients #3 (C1-C3) all over the telephone. During today’s visit LPA delivered findings.

See LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2026

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-20260326085425

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: REM CALIFORNIA, LLC - NECTAR	FACILITY NUMBER: 198603507
	VISIT DATE: 04/26/2026

NARRATIVE

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In regard to the allegation” Staff did not prevent residents from engaging in a physical altercation”, It is alleged that staff did not prevent clients from getting into an altercation. During interview with Area Manager, and staff all four (4) stated that all staff present intervened when the altercation happened. Two (2) staff stated that during the altercation they were assaulted by C2. S2 stated that there glasses were broken during the fight and the glasses were tried to use as a weapon during the altercation. During interview with clients all four stated that they feel staff protects them and that they all feel safe. When asked about the altercation C2 stated “I don’t want to talk about it”. LPA obtained documents form C2’s IPP report stating that he/she has aggressive physical behaviors and is working on these behaviors. Staff stated that they are CPI trained and that the behavior therapist has instructed them in what to do in these situations.

“Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. 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, and a copy of this report was given to Mercedes Dominguez.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2026

LIC9099 (FAS) - (06/04)

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