198603520-3-23-2026-28-AS-RORN-DSWMEN-20260407093301

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603520
Report Date: 03/23/2026
Date Signed: 03/23/2026 04:06:00 PM

Substantiated

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
03/20/2026 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260320125642

FACILITY NAME:	JOURNEY TOGETHER CARE HOME		FACILITY NUMBER:	198603520
ADMINISTRATOR:	ANGELES, MA KRISTINE		FACILITY TYPE:	735
ADDRESS:	14627 LA PLUMA DR		TELEPHONE:	(562) 217-7937
CITY:	LA MIRADA	STATE: CA	ZIP CODE:	90638
CAPACITY:	4	CENSUS: 4	DATE:	03/23/2026
		UNANNOUNCED	TIME BEGAN:	02:23 PM
MET WITH:	Ma Kristine Angeles - Administrator		TIME COMPLETED:	04:19 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff mismanaged client's medication

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to address the allegation listed above. LPA met with Ma Kristine Angeles, Administrator for the facility, and explained the purpose of the visit.

The investigation consisted of the following: LPA interviewed Staff #1 - 4 (S1 - S4), reviewed the medications along with medication administration records (MARs) for Clients #1 - 4 (C1 - C4), reviewed a corrective action plan (CAP) from the East Los Angeles Regional Center dated 3/16/2026, reviewed and incident report submitted by the facility on 2/9/2026, and also interviewed C1 - C3. LPA attempted to interview C4, however they were asleep during the time of the visit.

The investigation revealed the following: In regards to the allegation that "Staff mismanaged client's medication," it is alleged that C1 did not receive morning medications for Olanzapine and Vitamin D3 on 2/4/2026.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026

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-20260320125642

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: JOURNEY TOGETHER CARE HOME	FACILITY NUMBER: 198603520
	VISIT DATE: 03/23/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During interviews with the clients, none of them corroborated the allegation. C1 stated that they have not had any issues in obtaining their medications from staff. Another client interviewed stated that they are obtaining all the medications that they require. During interviews with the staff, three (3) out of four (4) staff corroborated the allegation. One staff interviewed stated that they recognized that C1 was not administered their Olanzapine and Vitamin D3 medications in the morning on 2/4/2026, and subsequently conducted an in-service training among staff on medication administration. Another staff interviewed that they likewise participated in the in-service training on medication administration following the medication error. Based on review of C1's MARs for the month of February, the initial is circled to indicate that the medication was not administered. The findings on the CAP from ELARC similarly describes that the medications were missed and that C1's primary care provider and psychiatrist was notified, and C1 did not have any adverse reactions to the missed medications. An SIR reviewed dated 2/9/2026 also describes that C1's medications for Olanzapine and Vitamin D3 were missed on 2/4/2026. During medication review for C1 - C4 at the time of the visit, LPA did not observe any additional medication errors since the one on 2/4/2026.

Based on LPA interviews conducted with the clients and staff, the preponderance of evidence standard has been met for the above allegations, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 1 is being cited on the attached LIC9099D page.

Exit interview was held and a copy of the report along with the appeal rights were provided and will be emailed to the administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20260320125642

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: JOURNEY TOGETHER CARE HOME	FACILITY NUMBER: 198603520
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/23/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/24/2026 Section Cited CCR 80075(b)	1 2 3 4 5 6 7	(b) Clients shall be assisted as needed with self-administration of prescription and nonprescription medications. This regulation is not met as evidenced by:	1 2 3 4 5 6 7	POC Cleared during visit Administrator/Licensee is to ensure that medications are all administered according to the physician orders at all times. Administrator is to conduct an in-service training amongst staff on medication administration and email it to LPA by the POC due date.
	8 9 10 11 12 13 14	Based on record review, LPA determined that the above allegation was not met in one (1) out of four (4) clients, because C1 did not receive their morning medications for Olanzapine and Vitamin D3, which posed an immeidate health and safety risk to clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3