306004248-4-7-2026-28-AS-DSIS-DUJSDP-20260529134729

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004248
Report Date: 04/07/2026
Date Signed: 04/07/2026 05:06:07 PM

Substantiated

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
04/03/2026 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260403143201

FACILITY NAME:	ELWYN NC - BARNWALL		FACILITY NUMBER:	306004248
ADMINISTRATOR:	TERESA OPORTO		FACILITY TYPE:	735
ADDRESS:	15319 BARNWALL ST		TELEPHONE:	(714) 670-8600
CITY:	LA MIRADA	STATE: CA	ZIP CODE:	90638
CAPACITY:	4	CENSUS: 2	DATE:	04/07/2026
		UNANNOUNCED	TIME BEGAN:	02:36 PM
MET WITH:	Crysel Sanots - Administrator		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Staff spoke in an inappropriate manner towards a client in care

INVESTIGATION FINDINGS:

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Liceninsg Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to address the allegations listed above. LPA met with Crysel Santos, administrator for the facility, and explained the purpose of the visit.

The investigation consisted of the following: LPA obtained copies of the staff and client rosters, interviewed Clients #1 - 2 (C1 - C2), interviewed Staff #1 - 4 (S1 - S4), and also obtained the FACE Sheet, Physician's Report, and Individualized Program Plan (IPP) for Client #1 (C1). LPA also reviewed a Corrective Action Plan (CAP) dated 4/3/2026 from the East Los Angeles Regional Center (ELARC).

The investigation revealed the following: In regards to the allegation that "Staff spoke in an inappropriate manner towards a client in care," it is alleged that C1 and S3 had gotten into a verbal altercation while S3 was assisting them with care needs, and during this altercation S3 raised their voice and yelled at C1.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

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-20260403143201

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: ELWYN NC - BARNWALL	FACILITY NUMBER: 306004248
	VISIT DATE: 04/07/2026

NARRATIVE

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During interviews with the clients, two (2) out of two (2) corroborated the allegation. C1 stated that S3 did get mad and aggressive towards them during the altercation, including arguing and yelling at them. Another client interviewed stated that they overheard C1 and S3 get into an altercation during this date, and that during the altercation S3 got upset raised their voice and told C1 "fine, I'm not going to help then." During interviews with the staff, two (2) out of four (4) corroborated the allegation. One of the staff interviewed who was present during the incident stated that during the altercation S3 was telling C1 that they "can't talk to me in that way," in a tone that they described as yelling, while pushing their head forward towards C1 in an attempt to scare C1. Another staff interviewed who was also present during the incident stated that S3 was yelling very loudly towards C1 during the interaction and that they did not stop either when told to leave the facility.

Based on LPA interviews conducted with the clients and staff, the preponderance of evidence standard has been met for the above allegations, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 1 is being cited on the attached LIC9099D page.

Exit interview was held and a copy of the report along with the appeal rights were provided and will be emailed to the administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260403143201

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: ELWYN NC - BARNWALL	FACILITY NUMBER: 306004248
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/07/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/04/2026 Section Cited CCR 80072(a)(1)	1 2 3 4 5 6 7	(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1)To be accorded dignity in his/her personal relationships with staff and other persons. This regulation is not met as evidenced by:	1 2 3 4 5 6 7	Licensee/Administrator is to ensure that all clients are accorded dignity and in their relationships with staff at all times. Administrator is to conduct an in-service training amongst staff on personal rights of clients and treating clients with dignity and respect. Administrator is to email the (...)
	8 9 10 11 12 13 14	Based on interviews conducted amongst clients and staff, the above regulation was not met in one (1) out of two (2) clients, as it was determined that S3 had yelled at C1 in an inappropriate manner, which poses a potential health and safety threat to clients in care.	8 9 10 11 12 13 14	list of attendees and materials to the LPA by the POC due date.
	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: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

LIC9099 (FAS) - (06/04)

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