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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603485
Report Date: 12/12/2025
Date Signed: 12/12/2025 11:24:08 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/23/2025 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20251123184432
FACILITY NAME:WHITTIER COTTAGE IIFACILITY NUMBER:
198603485
ADMINISTRATOR:TRAZO-BOHANAN, VILMAFACILITY TYPE:
740
ADDRESS:16222 MARLINTON DR.TELEPHONE:
(562) 315-9897
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:6CENSUS: 4DATE:
12/12/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Elizabeth PanganTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff hit resident.
Staff speak to resident in an inappropriate manner.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent unannounced complaint visit to deliver finding to the above-mentioned allegations. LPA met with Elizabeth Pangan. Administrator Trazo Bohanan Vilma arrived shortly after. LPA explained the reason for the visit.

The investigation consisted of the following: On 12/01/25 LPA Nune Margaryan obtained copies of Staff & Residents rosters, interviewed Administrator, Staff 2 (S2) and Staff 3 (S3), Resident 1 (R1) - Resident 3 (R3), Family Member 1 (FM1) and Family Member 2 (FM2). LPA requested and reviewed R1's file. Documents related to R1 were collected. LPA was unable to interview S1. S1 is no longer working at the facility.

Continue 9099C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
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 5
Control Number 28-AS-20251123184432
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: WHITTIER COTTAGE II
FACILITY NUMBER: 198603485
VISIT DATE: 12/12/2025
NARRATIVE
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The investigation revealed the following:

Allegations: Staff hit resident and Staff speak to resident in an inappropriate manner. It was alleged that staff hit the resident arm (There were no visible signs of abuse on resident’s arm/hand) and staff tell resident “Shut up”.

Interviewed Administrator and staff denied the allegations. They stated that they didn’t speak to R1 or other residents in an inappropriate manner telling them “Shut up”. They stated that they didn’t hit R1 or other residents. Interviewed Administrator and staff stated that the person who speaks inappropriately to residents and staff is R1. Interviewed Administrator and staff stated R1 is the one who curses and pushes staff. Interviewed FM1 and FM2 stated that staff is nice. They mentioned that R1 has a difficult personality and often make stories that never happened. They stated that R1 didn’t complaints that staff hit them. They didn’t see any marks or bruises on R1. Interviews with 3 residents indicated they have not been hit by staff. Interviewed R2 and R3 stated that facility staff didn’t speak in an inappropriate manner, and they didn’t hear that any staff tell R1 “Shut up” or hit R1. Interviews with staff, residents and FMs do not corroborate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated.

An exit interview conducted. A copy of this report was provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/23/2025 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20251123184432

FACILITY NAME:WHITTIER COTTAGE IIFACILITY NUMBER:
198603485
ADMINISTRATOR:TRAZO-BOHANAN, VILMAFACILITY TYPE:
740
ADDRESS:16222 MARLINTON DR.TELEPHONE:
(562) 315-9897
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:6CENSUS: 4DATE:
12/12/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Elizabeth PanganTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Uncleared staff caring and supervising resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent unannounced complaint visit to deliver finding to the above-mentioned allegations. LPA met with Elizabeth Pangan. Administrator Trazo Bohanan Vilma arrived shortly after. LPA explained the reason for the visit.

The investigation consisted of the following: On 12/01/25 LPA Nune Margaryan obtained copies of Staff & Residents rosters, interviewed Administrator, Staff 2 (S2) and Staff 3 (S3), Resident 1 (R1) - Resident 3 (R3), Family Member 1 (FM1) and Family Member 2 (FM2). LPA requested and reviewed R1's file. Documents related to R1 were collected. LPA was unable to interview S1. S1 is no longer working at the facility.

Continue 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 28-AS-20251123184432
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: WHITTIER COTTAGE II
FACILITY NUMBER: 198603485
VISIT DATE: 12/12/2025
NARRATIVE
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The investigation revealed the following: Allegation: Uncleared staff caring and supervising resident. It was alleged that unclear individual work at the facility and facility has allowed S1 to provide care and supervision to clients without obtaining the required fingerprint clearance.

During interview with Administrator was confirmed that S1 worked at the facility without fingerprint clearance. Administrator admitted that S1 was hired in October 2025 and has worked 3 days: 2 days in October 2025 and 1 day in November 2025. Administrator stated that S1 was not able provide fingerprint clearance and 11/16/25 was S1’s last day at the facility. LPA verified with the Regional Office telephonically that S1 does not have fingerprint clearance. Facility Personnel Report Summary did not list S1 on the report as an individual with clearance. The preponderance of evidence standard has been met; therefore the above allegation is found to be Substantiated.

A deficiency is issued on the LIC9099D. Immediate civil penalty of $300 issued.

An exit interview was conducted. A copy of this report and appeal rights were provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20251123184432
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II
FACILITY NUMBER: 198603485
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/12/2025
Section Cited
CCR
87355(e)(2)
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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, residing or volunteering in a licensed facility: (2)Obtain a California clearance or a criminal record exemption as required by the Department or...
This evidence was not met as required.
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Licensee / Administrator shall make sure all staff are fingerprinted and associated prior to working in a facility. Per Administrator Staff 1 is no longer working in the facility.
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During interview with Administrator was confirmed that S1 worked at the facility 3 days without fingerprint clearance.
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Immediated $300 civll Penalty issued
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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: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5