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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003751
Report Date: 11/14/2025
Date Signed: 11/14/2025 04:04:10 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
10/23/2025 and conducted by Evaluator Erik Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251023205235
FACILITY NAME:CRJ HOMEFACILITY NUMBER:
306003751
ADMINISTRATOR:CRISTINA SANTOSFACILITY TYPE:
735
ADDRESS:15044 BARNWALL STREETTELEPHONE:
(714) 521-5956
CITY:LA MIRADASTATE: CAZIP CODE:
90638
CAPACITY:6CENSUS: 4DATE:
11/14/2025
UNANNOUNCEDTIME BEGAN:
02:28 PM
MET WITH:Miraquel Reygoso - DSPTIME COMPLETED:
04:19 PM
ALLEGATION(S):
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Staff did not report incidents to the proper agencies in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to address the allegation listed above. LPA met with Miraquel Regoso, direct support staff for the facility, and explained the purpose of the visit. Administrator Martha Losoya was notified of the visit by phone call.

The investigation consisted of the following: During the initial visit conducted on 10/30/2025, LPA Daniel Konishi obtained copies of the client and staff roster, and interviewed Staff #1 (S1). During today's visit, LPA Erik Zaragoza interviewed Staff #2 - 4 (S2 - S4), reviewed a Corrective Action Plan (CAP) from the East Los Angeles Regional Center (ELARC) dated 10/23/2025, and reviewed Serious Incident Reports (SIRs) received from Community Care Licensing Division (CCLD) for the month of September 2025.

The investigation revealed the following: In regards to the allegation that "Staff did not report incidents to the proper agencies in a timely manner," it is alleged that an SIR related to alleged staff-on-client abuse was not reported to the appropriate agencies in the required time frame.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
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-20251023205235
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: CRJ HOME
FACILITY NUMBER: 306003751
VISIT DATE: 11/14/2025
NARRATIVE
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During interviews with staff, none of them corroborated the allegation. One of the staff interviewed explained that an incident report detailing the alleged abuse was submitted to CCLD in the required time frame, as the incident occurred on 9/13/2025 which was a Saturday, and was reported to CCLD by fax on Monday 9/15/2025. Other staff interviewed explained that are responsible for reporting all serious incidents to management and the administrator so that they can work on submitting the reports to the appropriate agencies. In reviewing the SIRs received by CCLD, LPA determined that an SIR for the incident was submitted to CCLD on Monday 9/15/2025, which was the next working day from the date that the incident occurred as required per Title 22 regulations.

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 allegations. 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.

Exit interview held, and a copy of this report will be emailed to the administrator.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2