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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006400
Report Date: 02/04/2025
Date Signed: 02/04/2025 04:03:21 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/04/2025 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250204113631
FACILITY NAME:MG HEIGHTS IFACILITY NUMBER:
306006400
ADMINISTRATOR:RICO, CAROLYNEFACILITY TYPE:
740
ADDRESS:10612 LEXINGTON STREETTELEPHONE:
(818) 572-3806
CITY:STANTONSTATE: CAZIP CODE:
90680
CAPACITY:5CENSUS: 4DATE:
02/04/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Mae BarlahanTIME COMPLETED:
02:59 PM
ALLEGATION(S):
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Resident was unlawfully evicted
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegation mentioned above. LPA met with Staff Mae Barlahan.

Interviews were conducted Licensee, Witness 1 (W1), Resident (R1), and Staff 1 (S1). It is alleged R1 is being unlawfully evicted. During their interview, S1 stated they were not aware of R1 being evicted but stated they received a text message from W1 indicating W1 was making arrangements for R1 to be picked up on today’s date, however S1 stated they were unsure of where R1 was being transferred to. During their interview, Licensee and Witness 1 (W1) denied R1 has been served with any type of eviction notice verbal, written, or otherwise and stated R1 had expressed their desire for physical therapy, and they were searching for placement to accommodate R1’s needs. Licensee and W1 stated placement has not been found and there are no plans to continue to seek placement as R1 has expressed they do not want to leave the facility. During their interview, R1 denied being served with any type of eviction notice, verbal, written, or otherwise. Per R1, they would like to receive physical therapy but within the facility. (LIC 9099-C)
Unfounded
Estimated Days of Completion: 90
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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 22-AS-20250204113631
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: MG HEIGHTS I
FACILITY NUMBER: 306006400
VISIT DATE: 02/04/2025
NARRATIVE
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The Department has investigated the complaint alleging Resident was unlawfully evicted. After interviews conducted with facility staff, witness, and R1, 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.

An exit interview was conducted and a copy of this report was provided at the end of the inspection.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2