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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603607
Report Date: 07/16/2026
Date Signed: 07/16/2026 02:12:46 PM

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
04/29/2026 and conducted by Evaluator Christian Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260429143241
FACILITY NAME:SPRINGFIELD MANORFACILITY NUMBER:
198603607
ADMINISTRATOR:BAIG, SHAHBAZFACILITY TYPE:
735
ADDRESS:2526 NEW AVENUETELEPHONE:
(626) 572-4146
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:32CENSUS: 31DATE:
07/16/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Shahbaz BaigTIME COMPLETED:
02:26 PM
ALLEGATION(S):
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Staff threaten resident
Staff do not ensure resident safety
Staff do not treat resident with dignity and respect
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 Administrator Shahbaz Baig who assisted with today’s visit.
The investigation consisted of the following: During the initial visit conducted on 05/07/2026 LPA conducted a tour of the facility and obtained copies of the following documents: Staff roster, client roster, client #1-client #2 (C1-C2) face sheet, appraisal/needs and service plan (LIC 625), physicians’ report (LIC 602), and special incident reports (SIR). During visit dated 07/03/2026 LPA Gutierrez obtained copies of C3, C4, and C5’s face sheet, physicians report, police reports, eviction notices, and any SIR in clients files. LPA interviewed Administrator, and client #3-client#4 (C3-C4). On today’s visit LPA Interviewed staff #1-staff #4 (S1-S4), clients #1, attempted client #2, client #5, client #6 (C1, C2, C5, C6), and delivered findings.

SEE LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
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 2
Control Number 28-AS-20260429143241
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: SPRINGFIELD MANOR
FACILITY NUMBER: 198603607
VISIT DATE: 07/16/2026
NARRATIVE
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In regard to the allegation “Staff threaten resident “, it is alleged that a bedridden client who is receiving physical therapy is being abused by another client and staff is threatening the client with eviction if they file a report. During interviews with Administrator and staff five (5) out of five (5) stated that clients are never threatened with evictions or threatened at all. Administrator stated that no client has actually ever been evicted although eviction notices have been given for no payment or aggressive behaviors. During interviews clients five (5) out of six (6), stated that they have never been threatened with eviction by staff. C4 stated that he/she has only been given warnings. LPA conducted a tour of facility rooms and did not see any client bedridden or unable to get up. Administrator stated that none of the clients are receiving physical therapy and have not gotten any x-rays for bones.

In regard to the allegation “Staff do not ensure resident safety”, it is alleged that staff is aware the clients are abusing other clients by trying to burn them with cigarettes and hitting them with shoes. During interviews with Administrator and staff five (5) out of five (5) stated that they have never witnessed or heard a client was being hit with shoes or threatened to be burned with a cigarette. S2 did say sometimes clients verbally argue if there are having a bad day. Administrator stated that they have one client that gets aggressive or argues if he/she doesn’t take their medication. During interviews with clients four (4) out of six (6) clients stated that they have never been in an altercation with another client or witnessed any altercations between other clients. C1 stated that a client threatens them and staff just talks to him/her. When asked by LPA what kind of threats C1 stated “tease Me”.

In regard to the allegation “Staff do not treat resident with dignity and respect”, it is alleged that a staff member has called a client stupid. During interviews with Administrator and staff five (5) out of five (5) stated that staff has never called a client stupid or any other derogatory name. Administrator stated that none of the staff have been written up for not treating the clients with respect. S2 stated that clients have called staff names. During interviews with clients five (5) out of six (6) stated that staff has never called them any bad names. When asked how clients were treated here five (5) clients stated good.

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 Shahbaz Baig.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2