198603804-3-26-2026-28-AS-RORN-DSRQBB-20260402120116

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603804
Report Date: 03/26/2026
Date Signed: 03/26/2026 03:41:18 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
03/18/2026 and conducted by Evaluator Nune Margaryan

COMPLAINT CONTROL NUMBER: 28-AS-20260318085108

FACILITY NAME:	ROLAND CENTER, THE		FACILITY NUMBER:	198603804
ADMINISTRATOR:	DIAZ, RAUL		FACILITY TYPE:	775
ADDRESS:	400 S COVINA BLVD		TELEPHONE:	(909) 233-2484
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91746
CAPACITY:	150	CENSUS: 101	DATE:	03/26/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Raul Diaz - Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in client wandering away from facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced initial 10-day Complaint visit to the facility and met with Raul Diaz.Purpose of the visit was explained.

The investigation consisted of the following: LPA obtained copies of Staff & Clients rosters, requested and reviewed facility records including C1's file. Copies of relevand documents were obtained including SIR dated 01/22/26, Regional Center report and facility in service trainings. LPA also reviewed video footage of incident.
Interviewes conducted with Administrator, Staff 2 (S2) and Staff 3 (S3) and Client 1 (C1). Staff 1 (S1) could not be interviewed as S1 was terminated from their position.

Continue 9099C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
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-20260318085108

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: ROLAND CENTER, THE	FACILITY NUMBER: 198603804
	VISIT DATE: 03/26/2026

NARRATIVE

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Regarding the allegation: Staff did not provide adequate supervision resulting in client wandering away from facility. It was alleged that participant departed the day program without staff supervision.

Interviewed Administrator admitted that the incident did occur. Administrator admitted that on 01/15/26 C1 left a facility without staff supervision. Following a comprehensive internal investigation it was determined C1's departure occurred without active supervision, reflecting a lapse in duty of care and adherence to established supervision protocols and assigned DSP /S1 did not properly communicated to supervisory staff or team resulting in a breakdown of supervision coverage. As a result of findings S1 was placed on administrative suspension and subsequently terminated on 02/02/26. Administrator mentioned that after the incident Administration held a meeting and in service training conducted for the staff. Materials for meeting and sign in sheet was provided to LPA. Review of facility and C1 files shows that when C1 chooses to leave the day program, facility staff will follow C1 at the respectful distance or walk with C1. LPA reviewed the regional center's investigation report, and it stated based on interviews and the review of facility documents, the allegation of lack of supervision was substantiated. LPA reviewed the surveillance footage and video recording viewed C1 leaving the program with no supervision. Interviewed S2 stated that they were noticed that on 01/15/26 around 11:20 am C1 enter the facility alone without supervision. Interviewed S3 stated that when the incident happened where C1 left a facility, they were not there. S3 knew about the incident because they had a meeting about it. Interviewed C1 stated that they left a facility to buy a snack. C1 was not able to remember the date when it happened.

Based on LPA interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED.

Exit interview was held and a copy of the report along with appeal rights were provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
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)

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Control Number 28-AS-20260318085108

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: ROLAND CENTER, THE	FACILITY NUMBER: 198603804
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/26/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/26/2026 Section Cited CCR 82078(a)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision necessary to meet the client's needs and all services specified in the admission agreement.	1 2 3 4 5 6 7	The administrator shall ensure that all adequate care and supervision will be provided by staff to the clients. Copy of the training and sign in sheet provided to LPA today and citation cleared at the time of visit.
	8 9 10 11 12 13 14	The requirement is not met as evidenced by: Based on interviews and records reviewed it was determined that C1 was not adequately supervised by S1, which posed an immediate risk for clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Nune Margaryan
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)

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