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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603586
Report Date: 03/26/2026
Date Signed: 03/26/2026 01:08:34 PM

Substantiated


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
03/02/2026 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260302114239
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: 39DATE:
03/26/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator Claudia SanchezTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff are financially abusing resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted a subsequent complaint investigation for the allegation listed above. LPA met with Administrator Claudia Sanchez, and explained the purpose of the visit.
The initial visit was conducted on 3/5/25 and included the following: LPA toured the facility and obtained copies of the Staff and Resident rosters, and Monrovia PD Case # 26-003923 and contact information. File of Staff S1 was reviewed and various documents were submitted.
At today's visit Resident's R1-R8, Administrator and Staff S2 were interviewed.
In regards to the allegation Staff are financially abusing resident, based on interviews conducted and information gathered Resident R1 stated that regarding the credit card there were charges on the credit card statement. Stated that the Administrator helped with the process and was able to find out that it was Staff S1 who used R1's credit card to purchase equipment.
Administrator confirmed that Resident R1 came to her and told of suspicious charges on the credit card statement. Stated she took all the steps to be in compliance. Said Resident R1 called the bank who then gave a report to R1 of where the charge occurred at. Said the report was clear as day that it was Staff S1
Substantiated
Estimated Days of Completion: J
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
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-20260302114239
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: 03/26/2026
NARRATIVE
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 who purchased items with R1's credit card. Stated S1 did not deny it.
Stated then Staff S1 signed separation papers.
Staff S2 stated that Resident R1 informed S2 that Staff S1 took money from R1 and it wasn't fair.
Stated was in the room when R1 told the Administrator.
Document Chargeback Reversal Request shows the amount of $173,20 being disputed. It lists delivery to customer address on 12/12/2025.
Document Order Summary lists customer name as Staff S1 and that the item was shipped to S1's home address.
Document dated 2/25/26 states R1 reported suspicious activity on R1's credit card. Report lists the following information regarding Staff S1- Name, Address, e-mail address, cellphone number, IP address, amount sent, items purchased.
Also states that Staff S1 was removed from the work schedule immediately.

Based on observation, record review, and interviews conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22. See LIC 9099D.

Exit interview was conducted with Administrative Assistant Claudia Sanchez. A copy of the report and appeal rights were issued.

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

DATE: 03/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260302114239
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
03/27/2026
Section Cited
CCR
87468.1(a)(3)
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Personal Rights
Residents in all residential care facilities for the elderly shall have all of the following personal rights:
To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.
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Facility to submit a plan by POC due date which outlines how facility will handle going forward on how to safeguard residents finances.
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This requirement is not met as evidenced by:
Based on interviews conducted and information gathered Licensee failed to ensure that R1 was free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature with S1 using R1's credit card which was an Immediate Health and Safety risk to residents in care.
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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: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3