198603790-4-15-2025-28-AS-RORN-DFYM2H-20250422091335

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603790
Report Date: 04/15/2025
Date Signed: 04/15/2025 03:38:08 PM

Unfounded

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
04/14/2025 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250414144220

FACILITY NAME:	ALHAMBRA VILLA		FACILITY NUMBER:	198603790
ADMINISTRATOR:	KIM, HYO SOOK		FACILITY TYPE:	740
ADDRESS:	528 HOWARD STREET		TELEPHONE:	(213) 820-3244
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	14	CENSUS: 11	DATE:	04/15/2025
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Gabi Cho, Staff		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff did not meet resident's hygiene needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted the complaint visit regarding the allegation listed above. LPA arrived unannounced and met with Staff, Gabi Cho. The purpose of the visit was explained.

During today's visit, LPA interviewed the licensee and Staff #1. Both stated that the individual in question does not reside at this location and was never a resident of the facility. LPA obtained a copy of the resident roster and verified that the name is not on the list.

This agency has investigated the complaint alleging, staff did not meet the resident's hygiene needs. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened, and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted and a copy of this report was provided.

Unfounded

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025

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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