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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197800430
Report Date: 01/17/2025
Date Signed: 01/17/2025 12:44:06 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
01/07/2025 and conducted by Evaluator Mayra Cota
COMPLAINT CONTROL NUMBER: 28-AS-20250107094321
FACILITY NAME:OASIS OF LOVE PLAZA CAREFACILITY NUMBER:
197800430
ADMINISTRATOR:LAURA IGNACIOFACILITY TYPE:
740
ADDRESS:2993 BAYBERRY COURTTELEPHONE:
(909) 217-7866
CITY:LA VERNESTATE: CAZIP CODE:
91750
CAPACITY:6CENSUS: 4DATE:
01/17/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Monina Barican, CaregiverTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff do not allow residents to use the restroom at the time of need.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Mayra Cota, Nune Margaryan and Luis De Leon, conducted an unannounced complaint visit in response to the above allegation. LPAs met with Monina Barican, Caregiver, who assisted with today’s visit. Administrator, Laura Ignacio was notified of the visit over the phone.

On today’s visit, LPAs: toured the physical plant, obtained client and staff rosters, and conducted interviews with Administrator (over the phone), Staff 1 – Staff 2 (S1 – S2) and Client 1 - Client 2 (C1 - C2).

Continue 9099C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
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-20250107094321
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: OASIS OF LOVE PLAZA CARE
FACILITY NUMBER: 197800430
VISIT DATE: 01/17/2025
NARRATIVE
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In regard to allegation: Staff do not allow residents to use the restroom at the time of need. It was alleged that clients have been forced to use a specific restroom depending on their needs. Residents are only allowed to use the restroom attached to the master bedroom if they need to urinate, while they can only use the hallway restroom if they need to have a bowel movement.

LPAs interviewed Administrator (via phone call) and staff at the time of visit. Interviewed Administrator and staff denied the allegation. According to Administrator, both facility bathrooms are always available to be used by clients at any time. Administrator stated that last week toilet in the master bathroom had been clogged due to client putting too much toilet paper. However, it was fixed the next day. According to staff interviewed, toilet in master bathroom had been clogged but has been fixed and available for use. Interviewed C1 stated they are allowed to use both bathrooms at any time. C1 stated, they have no issues using both bathrooms for urinating and bowel movement. Interviewed C2 stated they have no issues using both bathrooms. C2 mentioned that last week master bathroom was clogged but was fixed. LPAs toured the facility and observed that both toilets were working properly.

At the time of visit, LPAs tested the water temperature in both bathrooms and observed that initial water temperature was129 degrees F and 137.3 degrees F. A deficiency was issued on a separate Case Management report.

Based on the observation and interviews conducted, although the allegation 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 allegation is UNSUBSTANTIATED



Exit interview conducted and a copy of report was provided to Monina Barican, Caregiver.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2