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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603365
Report Date: 01/10/2025
Date Signed: 01/10/2025 04:59:24 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
01/07/2025 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250107111049
FACILITY NAME:CASA DEL CORAZON ALEGRE, INC.FACILITY NUMBER:
198603365
ADMINISTRATOR:LOMEDA, RONAFACILITY TYPE:
740
ADDRESS:8515 RAVILLER DR.TELEPHONE:
(562) 291-1451
CITY:DOWNEYSTATE: CAZIP CODE:
90240
CAPACITY:6CENSUS: 5DATE:
01/10/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Melchora Naron, StaffTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Uncleared adult present in the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation above. LPA arrived unannounced and met with Staff, Melchora Naron. The purpose of the visit was explained.

LPA obtained a copy of the staff and resident rosters. Interviews were held with the administrator, backup administrator, 3 Staff, and 4 Residents.

For the allegation of uncleared adult present in the facility, it is alleged that Staff #1 (S1) has been working at the facility and did not have their background checked. Per the administrators, S1 had worked at the facility for a day to cover and is not a full-time employee of the facility. S1 works at a sister facility as a full-time employee.
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
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 3
Control Number 28-AS-20250107111049
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: CASA DEL CORAZON ALEGRE, INC.
FACILITY NUMBER: 198603365
VISIT DATE: 01/10/2025
NARRATIVE
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Staff interviewed indicated they had been fingerprint cleared prior to working at the facility. 2 of the staff acknowledged S1 had worked at the facility in the past to cover a shift. Residents interviewed could not recall S1 working at the facility. Based on the Licensing roster, S1 has background clearance but not associated to the facility.

Based on record review and interviews, 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 8), are being cited on the attached LIC 9099D.



A deficiency is issued on the LIC9099D and a civil penalty is also issued. An exit interview was conducted. A copy of this report and appeal rights were provided to Staff.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250107111049
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: CASA DEL CORAZON ALEGRE, INC.
FACILITY NUMBER: 198603365
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/11/2025
Section Cited
CCR
87355(e)(2)
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87355 Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working... (2) Request a transfer of a criminal record clearance...
This requirement is not met as evidenced by:
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The licensee shall ensure all the employees are associated to the facility prior to working at the facility. Licensee shall submit proof of association to LPA by 1/11/25.
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Based on interviews and record review, Staff #1 was not associated to the facility which poses an immediate health and safety risk to residents in care.
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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.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3