198603890-2-2-2026-28-AS-RORN-DQZMD6-20260205083036

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603890
Report Date: 02/02/2026
Date Signed: 02/02/2026 04:06:47 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
01/26/2026 and conducted by Evaluator Blanca Gonzalez

COMPLAINT CONTROL NUMBER: 28-AS-20260126152616

FACILITY NAME:	GOOD NESTS II, THE		FACILITY NUMBER:	198603890
ADMINISTRATOR:	MONTOYA, TIFFANY		FACILITY TYPE:	740
ADDRESS:	759 W DIKE STREET		TELEPHONE:	(951) 444-5957
CITY:	GLENDORA	STATE: CA	ZIP CODE:	91740
CAPACITY:	6	CENSUS: 4	DATE:	02/02/2026
		UNANNOUNCED	TIME BEGAN:	09:16 AM
MET WITH:	Tiffany Montoya, Administrator		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Licensee did not ensure facility equipment was maintained in good repair
Licensee did not ensure hazardous items were inaccessible to residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced initial complaint investigation visit regarding the above allegations. LPA Gonzalez was greeted by Administrator Tiffany Montoya and the purpose of the visit was explained.

The investigation consisted of the following: LPA Gonzalez requested and obtained copies of Personnel Roster, Resident Roster, toured the facility physical plant, interviewed staff #1-2 (S1- S2) and interviewed residents #1-4 (R1-R4). R4 was interviewed and R4 could not answer LPA’s questions due to cognitive impairment.

continued on LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Blanca Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2026

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-20260126152616

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: GOOD NESTS II, THE	FACILITY NUMBER: 198603890
	VISIT DATE: 02/02/2026

NARRATIVE

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The investigation revealed the following:

Regarding the allegation "Licensee did not ensure facility equipment was maintained in good repair”: it was reported that a broken chair was removed from the TV room and later put back in the room. Metal ramps are not secured to the ground and are unsafe for residents in care. A grab bar in the shower was loose. The sliding glass door gets jammed if closed all the way. Interviews with 3 out of 3 residents revealed residents stated no concerns with broken chairs in TV room, metal ramps on stairs, loose grab bars in the shower, or jammed sliding glass door. R1 stated staff address issues immediately and has no concern about safety. R3 stated they use a walker and feel safe using the portable metal ramps and staff will assist when needed. LPA observed sufficient seating in TV room for residents in care and chairs were in good repair. LPA observed a broken chair in the garage. Interviews with staff revealed S1 stated they were unsure how a resident broke two (2) wooden chairs and the chairs were immediately removed and put in the garage and were replaced with other chairs that were not broken. S1 stated the chair would be thrown away on trash day, the other chair was already disposed of. LPA and staff tested all ramps by walking up and down the ramps. Ramps were sturdy and not wobbly. All ramps had secured grabs bars on the walls adjacent to ramps as support for residents that may have poor balance. LPA and S1 checked grab bars in showers of the two (2) bathrooms by tugging and pushing down on grab bars. LPA observed metal grab bars to be securely bolted to the wall and did not move. LPA observed sliding glass door to open and close completely and smoothly with no jamming. Regarding the allegation " Licensee did not ensure hazardous items were inaccessible to residents”: it was reported that due to the broken lock on the laundry room cabinet, residents may have access to hazardous items which could pose a danger when not in a locked storage and are left unattended if outside the locked storage. Interviews with staff revealed detergents and cleaning supplies are kept in a locked cabinet in the garage, inaccessible to residents in care. LPA observed door to garage was labeled “RESTRICTED AREA. AUTHORIZED PERSONNEL ONLY” and the cabinet door above the laundry area has a lock making detergents and cleansers inaccessible to residents in care. S1 and S2 stated cabinet door is locked at all times.

Based on interviews and observation, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted, and a copy of this report was provided to Administrator Tiffany Montoya.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Blanca Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2026

LIC9099 (FAS) - (06/04)

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