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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197801605
Report Date: 01/23/2026
Date Signed: 01/23/2026 02:17:18 PM

Substantiated


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
01/20/2026 and conducted by Evaluator Gabriela Castro
COMPLAINT CONTROL NUMBER: 28-AS-20260120111131
FACILITY NAME:MOUNTAIN VIEW CENTERFACILITY NUMBER:
197801605
ADMINISTRATOR:LAURA HERNANDEZFACILITY TYPE:
740
ADDRESS:715 WEST BASELINE ROADTELEPHONE:
(909) 626-6633
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:40CENSUS: 39DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
08:58 AM
MET WITH:Laura Hernandez, Administrator TIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff preventing residents from getting personal belongings.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced complaint visit on 01/23/2026 to deliver findings related to the above allegation. LPA met with Laura Hernanez, Administrator and explained the purpose of the visit.

The investigation included a review of the client roster, staff roster, resident face sheet, admission agreements, house rules, assessments, care plans, and progress notes. Additionally, LPA toured the facility, inspected seven (7) resident bedrooms, and conducted interviews with five (5) staff members (S1–S5) and seven (7) residents (R1–R7).


(continued on 9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
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 4
Control Number 28-AS-20260120111131
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: MOUNTAIN VIEW CENTER
FACILITY NUMBER: 197801605
VISIT DATE: 01/23/2026
NARRATIVE
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Allegation: Staff preventing residents from getting personal belongings.

It was alleged R1 requested a sweater from staff member S1 and was denied. It was further alleged that R1’s closet is locked due to R1 removing clothing and creating a mess. It was also alleged that other residents have locked closets while some residents do not. The report alleges staff are preventing residents from accessing their personal belongings.

During resident interviews, most residents (R2–R7) reported that their clothing is kept in their closets and stated that their closets were not locked. None of these residents reported that staff had told them they could not have their clothing or personal items. When asked whether they had concerns about staff preventing access to belongings, most residents were unable to answer. Several residents demonstrated limited ability to respond to questions, which appeared consistent with cognitive impairment. R1 reported that her closet is always locked and stated that she cannot access her clothing whenever she wants. R1 reported that staff sometimes assist her in accessing her clothing when she asks and stated that staff have sometimes told her she could not have her belongings. R1 stated that she feels “sad” when she is unable to access her belongings. R1 appeared consistent with cognitive impairment.

During staff interviews, staff consistently reported that some residents’ closets are locked due to safety concerns related to cognitive impairment, including residents removing all items from closets, attempting to leave the facility with belongings, or misplacing items. Multiple staff indicated that these behaviors are frequently associated with R1 due to confusion and dementia-related behaviors. Staff generally stated that the decision to lock a resident’s closet is made or approved by administration; however, some staff reported that there was no specific directive and that staff act based on familiarity with resident behaviors. Staff reported that keys to locked closets are accessible to staff, including medication technicians, and that all staff are aware of the combination codes for coded locks. Staff stated that residents may request staff assistance to access their belongings. Several staff reported that they had not observed staff deny residents access to their personal belongings when requested. Staff were unsure whether restrictions on personal belongings are documented in resident records.



(continued on 809C)


SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 28-AS-20260120111131
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: MOUNTAIN VIEW CENTER
FACILITY NUMBER: 197801605
VISIT DATE: 01/23/2026
NARRATIVE
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During the visit, LPA observed resident R1’s closet to be locked. LPA also observed six (6) additional resident bedrooms with closet locks present, some of which were in use or broken. LPA observed that some residents’ closets were locked while others were not. LPA did not observe any posted signage or written notice explaining restrictions on resident access to personal belongings. The LPA reviewed R1’s admission agreement, assessments, and care plan and found no documentation authorizing restrictions on access to personal belongings. S1 confirmed no such documentation existed and stated that no waiver to lock resident closets had been requested to Licensing. No physician order or written consent was observed, and facility policies did not clearly authorize locking resident closets. The LPA attempted to contact the assigned ALW Coordinator and social worker but was unable to make direct contact and left a message with the ALW receptionist.

Based on LPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 28-AS-20260120111131
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: MOUNTAIN VIEW CENTER
FACILITY NUMBER: 197801605
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
01/30/2026
Section Cited
CCR
87468.2(a)(6)
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(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:
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The facility shall ensure residents’ rights to make daily life choices, including access to personal belongings. The Administrator shall submit a written plan describing how resident personal rights will be protected.
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(6) To make choices concerning their daily lives in the facility.
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Effective immediately, resident closet locks shall no longer be used, and the Administrator shall submit written confirmation that the locks have been discontinued.
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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: Gabriela Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4