198603722-4-28-2026-28-AS-DSIS-DU4NL9-20260515103311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603722
Report Date: 04/28/2026
Date Signed: 04/28/2026 04:46:29 PM

Unsubstantiated

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
04/21/2026 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260421114052

FACILITY NAME:	CRISJADE HOME, LLC		FACILITY NUMBER:	198603722
ADMINISTRATOR:	LOSOYA, MARTHA		FACILITY TYPE:	735
ADDRESS:	14736 FIGUERAS RD		TELEPHONE:	(657) 239-0013
CITY:	LA MIRADA	STATE: CA	ZIP CODE:	90638
CAPACITY:	4	CENSUS: 2	DATE:	04/28/2026
		UNANNOUNCED	TIME BEGAN:	03:01 PM
MET WITH:	Lydia Samonte - DSP		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Staff physically abused resident in care
Staff utilized an inappropriate form of discipline with resident in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced initial complaint visit to address the allegations listed above. LPA met with Lydia Samonte, direct support staff (DSP) for the facility, and explained the purpose of the visit. Licensee Loida Samonte arrived shortly thereafter.

The investigation consisted of the following: LPA interviewed Clients #1 - 2 (C1 - C2), Staff #1 - 4 (S1 - S4), conducted a tour of the facility, and obtained a copy of the staff roster.

The investigation revealed the following: In regards to the allegation that "Staff physically abused resident in care," it is alleged that staff have slapped and hit C1 in the past.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260421114052

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: CRISJADE HOME, LLC	FACILITY NUMBER: 198603722
	VISIT DATE: 04/28/2026

NARRATIVE

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During interviews with the clients, none of them corroborated the allegation. C1 did not corroborate the allegation during their interview that they have been hit by staff. C2 stated that none of the staff have ever hit any of the clients in the facility. During interviews with the staff, none of them corroborated the allegation. One of the staff stated that they have not and would never hit or slap C1. Another staff interviewed stated that they have worked with C1 at their previous assisted living facility and none of the staff have never hit her either at the previous home or the current one. LPA did not observe any signs of physical injury on C1.

In regards to the allegation that "Staff utilized an inappropriate form of discipline with resident in care," it is alleged that staff have physically disciplined C1 in the past at night including hitting them with a cane or shoe. During interviews with the clients, none of them corroborated the allegation. C1 did not corroborate that they have been physically disciplined at night by staff members. C2 stated that none of the staff have physically disciplined any of the clients in the home. During interviews with the staff, none of them corroborated the allegation. LPA interviewed night staff and they stated that they do not physically discipline C1 and understands it is their right to be free from unusual discipline. Another staff member stated they have never witnessed any staff physically disciplining C1. During the tour of the facility, LPA did not observe any dangerous items including a cane that can be used for physical discipline.

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. A copy of this report, along with the appeal rights, was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

LIC9099 (FAS) - (06/04)

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