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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603586
Report Date: 10/10/2025
Date Signed: 10/10/2025 01:37:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/06/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251006124649
FACILITY NAME:HENRIETTA'S LEVEN OAKSFACILITY NUMBER:
198603586
ADMINISTRATOR:STEPHANY PEREZFACILITY TYPE:
740
ADDRESS:120 S. MYRTLE AVENUETELEPHONE:
(213) 478-0800
CITY:MONROVIASTATE: CAZIP CODE:
91016
CAPACITY:80CENSUS: 42DATE:
10/10/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Administrator Claudia SanchezTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff is hitting a client
Staff yells at a client
Staff pulls on a client's hair
Staff is mishandling a client's personal funds
Staff unlawfully evicted a client
Staff mishandled a client's personal belongings of Clients
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced complaint visit for the allegations listed above. LPA met with Claudia Sanchez, Administrator and explained the purpose of the visit.
At today's visit the Resident and Staff Roster was submitted.
Interviews were conducted with Administrator Claudia Sanchez, and Staff S1-S2.
Interviews were conducted with Resident's R1-R6. R1 was interviewed telephonically by Spanish Translator LPA Galarza.
File for Resident R1 was reviewed. Admission Agreement, Physician's Report and Appraisal Needs and Services were submitted.
Special Incident Report (SIR) and Record of Resident's Safeguard Cash Resources were submitted.
Case Manager for Resident R1 was interviewed telephonically.
In regards to the allegations Staff is hitting a client, Staff yells at a client, and Staff pulls on a client's hair
based on interviews conducted and information gathered R1 stated that staff are great and they like her.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

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

DATE: 10/10/2025
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-20251006124649
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: HENRIETTA'S LEVEN OAKS
FACILITY NUMBER: 198603586
VISIT DATE: 10/10/2025
NARRATIVE
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Also stated staff are honorable and trustworthy and have not hit, yelled or pulled her hair.
Interview with Case Manager who stated that none of the allegations happened.
Stated the Administrator is good with the residents and that R1 has multiple scenarios in her head and vocalizes it and it is not true.
Staff S1 and Staff S2 both stated that the allegations are untrue and there is always another staff with the Administrator when interacting with R1.
R1-R6 all stated that the allegations didn't happen and that staff are professional.
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.

In regards to the allegation Staff is mishandling a client's personal funds, based on interviews conducted and information gathered R1 stated that the Administrator manages her money and that staff are trustworthy. Always gets P and I each month, but not sure of the amount.

Case Manager stated that they are working with R1 so she doesn't give away her money and not spend it not knowing where it is going. Said there is always additional staff with the Administrator when money is dispersed. Staff S1-S2 both stated that they have both been witnesses when R1 is receiving money from the Administrator. Said that R1 lends money and forgets. At store she will want to buy too much. She has lent money to another resident and say it is missing having forgotten. Administrator stated that there is a P and I Log here. Said R1 would say money is missing. Stated that with the Case Manager it was decided that R1 will let her know she needs money and she will give to her because she has misplaced before. They make her bring back receipts to track it. Also stated that R1 has a memory issue so they safeguard her money.

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.

In regards to the allegation Staff unlawfully evicted a client, based on interviews conducted and information gathered R1 stated that the Administrator is not asking her to leave. Said she has told her Case Manager she wants to move out to be with a friend.

Case Manager stated that they are working on relocation. Said that there was a meeting regarding relocating and R1, Case manager and Administrator attended the meeting. Stated it is not true about eviction. Administrator stated that R1 is not being evicted and her Case Manager would be the one to relocate her.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

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

DATE: 10/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20251006124649
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: HENRIETTA'S LEVEN OAKS
FACILITY NUMBER: 198603586
VISIT DATE: 10/10/2025
NARRATIVE
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Resident's R2- R6 stated they had never heard of anyone being threatened with eviction. Staff S1-S2 stated that R1 works with her Case Manager on relocating and there is no eviction from the facility.
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.

In regards to the allegation Staff mishandled a client's personal belongings, based on interviews conducted and information gathered R1 stated that another resident gave her jewelry and she didn't want to be accused of stealing so she gave it to the Administrator.

Resident's 2-6 all stated that they have never had staff mishandle their personal belongings. Nothing has been stolen or missing.

Staff S1-S2 stated that no belongings have been mishandled and anything missing from a resident it has been located and given back.

Administrator stated that a former resident gave her belongings to R1 and she had told R1 she was holding it until the family says it is ok to give away.

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.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

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

DATE: 10/10/2025
LIC9099 (FAS) - (06/04)
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