198603508-8-21-2025-28-AS-DSIS-DKYLZS-20250828091224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603508
Report Date: 08/21/2025
Date Signed: 08/21/2025 11:44:41 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
07/22/2025 and conducted by Evaluator Christian Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250722133518

FACILITY NAME:	REM CALIFORNIA, LLC - BELLFLOWER		FACILITY NUMBER:	198603508
ADMINISTRATOR:	MANALASTAS, ALBERTO		FACILITY TYPE:	735
ADDRESS:	6129 BELLFLOWER BLVD		TELEPHONE:	(562) 866-9634
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90713
CAPACITY:	4	CENSUS: 2	DATE:	08/21/2025
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	DSP Elsa Viernes		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in resident eloping
Staff did not administer medications as prescribed.
Staff mismanaging residents’ P& I funds.
Staff did not ensure residents’ hygienic needs were being met.
Facility not following client's dietary restrictions.
Staff do not provide residents with adequate laundry service.
Staff speak inappropriately to residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with DSP worker Elsa Viernes and explained the purpose of the visit. Administrator Martel Plotnick was notified by telephone.

The investigation consisted of the following: During the initial visit conducted on 07/29/2025, LPA interviewed Administrator, staff #1 and staff #2 (S1-S2) and client #2 (C2). LPA obtained copies of the following documents: staff roster, client roster, C1’s identification, and emergency information LIC 601, admission agreement, consumer medical information, individual program plan report (IPP), preplacement appraisal information, nurse reports, special incident reports (SIR), police reports, and toured the facility. On 08/20/2025 LPA interviewed C1 and S3. During today’s visit LPA Gutierrez delivered findings.

SEE 9099C

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

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 3

Control Number 28-AS-20250722133518

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 - BELLFLOWER	FACILITY NUMBER: 198603508
	VISIT DATE: 08/21/2025

NARRATIVE

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In regard to the allegation “Staff did not provide adequate supervision resulting in resident eloping”, it is alleged that C1 has eloped several times due to lack of supervision. During interviews with Administrator and staff four (4) out of four (4) stated that C1 would leave, and that staff would follow C1 and then call 911 for help. Administrator stated there has been several police report made. LPA was able to obtain copies of police reports. During interview C1 client stated that they would just leave because they were dealing with their illness. C1 stated that there was a lot of staff at home to watch him/her.

In regard to the allegation “Staff did not administer medications as prescribed”, it is alleged that staff gave client medication without food. During interviews with Administrator and staff four (4) out of four (4) stated that all clients get medicine as prescribed, and all directions are followed. During interviews with clients two (2) out of two (2) clients stated that they have never had any problems with medication. During record review LPA obtained copies of C1’s instruction for medications which stated medicine can be taken with or without food.

In regard to the allegation “Staff mismanaging residents’ P& I fund”, it is alleged that C1 never received his/her P & I money. During interviews with Administrator, it was revealed that C1 had never received his/her P& I card during time of stay at facility. LPA was able to verify card in FedEx shipping envelope with a delivery date of 07/24/2025. Facility is waiting for instructions from service coordinator with what to do with card. Administrator stated even though no money was received client still was provided everything that they needed. During interviews with residents one (1) out of two (2) clients stated that they received their P & I money on time.

In regard to the allegation “Staff did not ensure residents’ hygienic needs were being met.”, it is alleged that C1 was not provided hygiene and had to purchase soap. During interviews with Administrator and staff four (4) out of four (4) staff stated that facility had more than enough hygiene products. LPA toured the facility and observed a sufficient supply of hygiene products in closet. During interviews with residents two (2) out of two (2) clients stated that staff provides hygiene products for them.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250722133518

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 - BELLFLOWER	FACILITY NUMBER: 198603508
	VISIT DATE: 08/21/2025

NARRATIVE

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In regard to the allegation “Facility not following client's dietary restrictions”, it is alleged client was given sugar against his/her dietary plan. During interviews with Administrator and staff four (4) out of four (4) stated that C1 did not have any orders or dietary restrictions. Staff did state that they followed the wishes of no sugar and would redirect C1 when client would ask for sugary products. During interview with C1 it was revealed that they lied about being allergic to sugar because the affects energy drinks had on him/her.

In regard to the allegation “Staff do not provide residents with adequate laundry service”, it is alleged that clients clothes would smell sour. During interviews with Administrator and staff four (4) out of four (4) stated that clients are encouraged to do own laundry, and staff are there to assist if needed. Staff stated that if clients’ clothes smelled they would just wash again. During interviews with residents two (2) out of two (2) clients stated that they wash their own clothes but if asked staff would help them.

In regard to the allegation “Staff speak inappropriately to residents in care”, it is alleged that staff has made rude comments to clients During interviews with Administrator and staff four (4) out of four (4) stated that they do not speak to clients in a rude manner, nor have they heard any other staff. During interviews with residents two (2) out of two (2) residents stated that staff speak to them respectfully.

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 Administrator.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

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