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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603660
Report Date: 01/28/2026
Date Signed: 01/28/2026 06:07:25 PM

Substantiated


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
12/18/2025 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251218085744
FACILITY NAME:PARKER HOMES 2FACILITY NUMBER:
198603660
ADMINISTRATOR:SURESH, BEVINAHLLIFACILITY TYPE:
735
ADDRESS:2808 BLAKEMAN AVETELEPHONE:
(626) 609-3449
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY:4CENSUS: 4DATE:
01/28/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Neil Ochoa, House LeadTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff did not report injury to authorized representatives.
Facility did not follow proper reporting requirements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit for the allegations listed above. LPA met with Neil Ochoa and explained the purpose of the visit.

The investigation consisted of the following:
On 12/23/25, LPA Chan conducted the initial visit and obtained copies of the staff roster, client roster, and documents for Client #1. Interviews were conducted with the administrator, three (3) Staff, and Client #1. The other three (3) clients were not interviewed because they are non-verbal and lack cognitive skills. LPA interviewed an additional four (4) staff via telephone on 1/13/26 and another staff today.

The investigation revealed the following:
Allegation – Staff did not report injury to authorized representatives. It is alleged that the incident regarding Client #1 (C1) was not reported to the family.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
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 5
Control Number 28-AS-20251218085744
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: PARKER HOMES 2
FACILITY NUMBER: 198603660
VISIT DATE: 01/28/2026
NARRATIVE
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According to the interview with the administrator, C1's bruise observed by staff on 12/9/25 was not communicated to C1's representative due to a language barrier. The administrator informed the regional center and was not sure if the incident was relayed to the family on their behalf. Staff stated they normally contact C1’s family member to relay any information and to sign documents. Staff interviewed stated that when an incident arises, they would report it to the administrator or house manager, who then contacts the responsible parties to let them know what happened. Staff do not know if this particular incident was reported to C1’s authorized representative. Based on information gathered, this allegation is substantiated.

Allegation - Facility did not follow proper reporting requirements. It is alleged that the incident regarding Client #1’s injury was not reported to licensing. The administrator acknowledged that an incident report was not sent to CCL (Community Care Licensing) for the initial observation of the bruise on C1 but stated that a follow up status for C1’s fracture was submitted. According to record review, LPA did not receive an incident report from the facility regarding the initial bruise found on C1 on 12/9/25, however, a report was submitted to CCL and regional center on 12/14/25 for the collarbone fracture diagnosis. Since the facility did not submit the incident report for the initial observation of the bruising, the allegation is substantiated.

Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapters 1 and 6), are being cited on the attached LIC 9099D.



An exit interview was conducted. The Plan of Corrections were reviewed and developed with the administrator via telephone. A copy of this report and appeal rights were provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20251218085744
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: PARKER HOMES 2
FACILITY NUMBER: 198603660
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/02/2026
Section Cited
CCR
85072(b)(2)
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85072 Personal Rights (b) The licensee shall insure that each client is accorded the following personal rights. (2) To have the facility inform his/her relatives and authorized representative,if any, of activities related to his/her care and supervision...
This requirement is not met as evidenced by:
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The licensee shall ensure any injuries or observations that affects the health and safety of clients are reported to their authorized representative/relatives. A statement acknowledging this regulation shall be submitted to LPA by 2/2/26
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Based on interview and record review, the administrator did not report the bruising observed to C1's relative which poses a potential personal rights risk to clients in care.
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Type B
02/02/2026
Section Cited
CCR
80061(b)(1)(D)
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80061 Reporting Requirements (b) Upon the occurrence...a report shall be made to the licensing agency within the agency's next working day...Any injury to any client which requires medical treatment.
This requirement is not met as evidenced by:
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The licensee shall review the regulation on Reporting Requirement and adhere to them. A statement acknowledging ths regulation shall be submitted to LPA by 2/2/26.
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Based on interview and record review, an incident report was not submitted to CCL for the initial observation of C1's bruise which poses a potential health and safety risk to clients 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: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
12/18/2025 and conducted by Evaluator Cynthia D Chan
COMPLAINT CONTROL NUMBER: 28-AS-20251218085744

FACILITY NAME:PARKER HOMES 2FACILITY NUMBER:
198603660
ADMINISTRATOR:SURESH, BEVINAHLLIFACILITY TYPE:
735
ADDRESS:2808 BLAKEMAN AVETELEPHONE:
(626) 609-3449
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY:4CENSUS: 4DATE:
01/28/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Neil Ochoa, House LeadTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Client sustained an injury due to staff neglect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit for the allegation listed above. LPA met with Neil Ochoa and explained the purpose of the visit.

The investigation consisted of the following:
On 12/23/25, LPA Chan conducted the initial visit and obtained copies of the staff roster, client roster, and documents for Client #1. Interviews were conducted with the administrator, three (3) Staff, and Client #1. The other three (3) clients were not interviewed because they are non-verbal and lack cognitive skills. LPA interviewed an additional four (4) staff via telephone on 1/13/26 and another staff today.

The investigation revealed the following:
Allegation – Client sustained an injury due to staff neglect. It is alleged that Client #1 (C1) sustained a fractured collarbone due to staff neglect. LPA interviewed staff and a client for this allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20251218085744
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: PARKER HOMES 2
FACILITY NUMBER: 198603660
VISIT DATE: 01/28/2026
NARRATIVE
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Per the staff, they noticed a bruise/redness on C1's collarbone on 12/9/25 and reported it right away. At that time, there were no reports of C1 having fallen, and staff did not know how C1 had sustained the bruise. Staff noted that C1 went to the day program the day prior and stated that C1could have possibly gotten injured while away from the facility. On the same day, C1 was evaluated by the doctor and did not express any concerns. During the week, Staff continue to monitor C1’s bruise. C1 did not display any signs of pain or observable decline in daily function. On 12/13/25, Staff noticed C1 showing signs of pain and noticed a protruding bump on the same right collarbone. Staff immediately took C1 to the emergency room and the diagnostic imaging showed that C1 had a clavicle fracture. Per the administrator, the San Gabriel/Pomona Regional Center had conducted an investigation for this incident but has not provided their findings. LPA obtained and reviewed documentation of staff notation of their observations and monitoring of the injury. LPA interviewed C1 who responded no when asked if any staff caused the injury, fell, or bumped into something. Based on the information gathered, there was no indication of staff neglect that cause the injury.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.



An exit interview was conducted with Staff N. Ochoa. A copy of this report, along with the appeal rights, was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5