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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603779
Report Date: 11/18/2025
Date Signed: 11/18/2025 12:07:44 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
11/14/2025 and conducted by Evaluator Daniel Konishi
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251114085710
FACILITY NAME:ALTAPAS CARE CENTERFACILITY NUMBER:
198603779
ADMINISTRATOR:GALEANO, DAYSIFACILITY TYPE:
735
ADDRESS:2011 N. SUMMIT AVETELEPHONE:
(626) 823-6117
CITY:PASADENASTATE: CAZIP CODE:
91103
CAPACITY:6CENSUS: 3DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Daysi Galeano, AdministratorTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Resident was physically abused by an unknown individual.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Daniel Konishi conducted an initial 10-day unannounced complaint visit at the facility and met with the Administrator, Daysi Galeano and Licensee, Gary Hall to discuss the purpose for today's visit. The purpose of the visit is to investigate the above allegation.

The investigation consisted of the following: LPA requested a copy of staff and client rosters. LPA also requested copies from the Client #1 (C1) file such as: Face Sheet, Personal Rights, Special Incident Report (SIR) and other pertinent documents. LPA also requested copies of the Staff #1 (S1) file such as: Personnel Record LIC501, Ongoing staff training, and other pertinent documents. LPA interviewed the Licensee, Administrator, C1 to Client #2 (C2), and S1 to Staff #3 (S3). LPA attempted to interview Client #3 (C3) but C3 was unable to be interviewed as C3 declined to be interviewed.

The investigation revealed the following: In regards to the allegations, “Resident was physically abused by an unknown individual.”
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Daniel Konishi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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 2
Control Number 28-AS-20251114085710
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: ALTAPAS CARE CENTER
FACILITY NUMBER: 198603779
VISIT DATE: 11/18/2025
NARRATIVE
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It is alleged that in the morning on 11/13/2025, a S1 pushed C1 and C1 fell on the floor and while C1 was on the floor, S1 stomped on C1. LPA interviewed C1 that corroborated with the allegation stating that S1 pushed C1 out of the bed and C1 went to the floor and S1 stomped on C1 on the floor. C1 stated that C1’s hand was injured. However, C1 did not report this to staff. LPA observed SIR dated 11/14/2025, the staff also observed no injuries at the time of the incident. C1 also stated there were no witnesses. LPA interviewed an additional one client that denied the allegations stating that they haven’t witnessed C1 or any client being pushed or stomped on by S1 or any staff on 11/13/2025. One (1) out of two (2) clients also stated not being pushed or hit by S1 or any staff. LPA interviewed S1 denied the allegation stated that C1 was having a behavior of being verbally aggressive and went towards C1 so S1 got out of C1’s way. S1 also stated of not touching, pushing or stomping C1. LPA interviewed the Licensee, Administrator, and an additional two (2) staff that denied the allegation stating that C1 was not pushed or stomped on the floor on 11/13/2025. One (1) of the three (3) staff witnessed the incident and stated that C1 had a behavior of being verbally aggressive and S1 did not physically touch, push, or stomp C1. LPA reviewed all documentation that C1 has a history of making allegations and fabrications. LPA also reviewed staff training on reporting and documenting abuse, and zero tolerance. There is not enough evidence to substantiate.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegation(s). Although the allegation(s) 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 allegations are UNSUBSTANTIATED.

Exit interview was held, and a copy of this report was provided to the Administrator, Daysi Galeano.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Daniel Konishi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2