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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191500823
Report Date: 11/20/2025
Date Signed: 11/20/2025 12:29:10 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/07/2025 and conducted by Evaluator Jose Anguiano
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251007113008
FACILITY NAME:HIGHLAND MANOR GUEST HOMEFACILITY NUMBER:
191500823
ADMINISTRATOR:AARON KHODORKOVSKYFACILITY TYPE:
735
ADDRESS:3570 E. IMPERIAL HWY.TELEPHONE:
(310) 631-7569
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:106CENSUS: 105DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
11:56 AM
MET WITH:Aaron KhodorovskyTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff is financially abusing clients.
Staff serve clients food of poor quality.
Staff do not ensure client safety.
INVESTIGATION FINDINGS:
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On 11/20/2025 at approximately 11:00 AM, Licensing Program Analyst (LPA) Jose Anguiano conducted a subsequent visit to deliver findings regarding the above allegations and met with Administrator Aaron Khodorovsky.
The investigation consisted of the following: On 10/14/2025, LPA toured the facility, including resident rooms, the kitchen, and the business office. LPA conducted interviews with staff (S1–S11) and clients (C1–C11). Records reviewed included the personnel report, incident reports related to the allegations, admission agreements for selected clients, income deposit and check records for clients with financial concerns, and documentation of cash and valuables safeguards. LPA also reviewed various staff training records related to client care and fair treatment, as well as the current resident roster.
Regarding the allegation “Staff is financially abusing clients,” it was alleged that the licensee is overcharging clients in care.
Please see LIC9099-C for report continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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 11-AS-20251007113008
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: HIGHLAND MANOR GUEST HOME
FACILITY NUMBER: 191500823
VISIT DATE: 11/20/2025
NARRATIVE
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Observations during the visit revealed no signs of financial abuse by staff. Interviews with staff revealed that four (4) staff members denied the allegation, and seven (7) stated they do not handle client funds. Staff member (S1) stated that although (C1) does not have sufficient income to pay the full rent amount agreed upon, the Administrator has continued to provide care and is actively working with the client to secure additional financial support. Interviews with clients revealed that (10) clients denied the allegation, and (1) agreed. However, the concern raised by (C2) was not supported by documentation or evidence. Records reviewed included admission agreements for Clients (C1–C2), which reflected rates aligned with CDSS PIN 24-13-CCLD, effective January 1, 2025. A Social Security Administration letter confirmed that the facility is the representative payee for (C1) and documented the client’s monthly income, which is less than half of the agreed-upon rent. The LPA also reviewed (C1’s) cash safeguard records and PNI from 04/01/2025 to 11/20/2025, which included amounts received and withdrawn, all signed by the client with no discrepancies noted. Additionally, photocopies of checks from August through June show that (C1) has made consistent monthly payments toward rent, each matching the amount of their income, which is less than the monthly rent owed. While these payments do not cover the full rent, there is no evidence that the licensee is overcharging or financially exploiting the client. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. Regarding the allegation “Staff serve clients food of poor quality,” it was alleged that the food served is substandard and may have caused food poisoning. Observations revealed that the kitchen was clean, sanitary, and organized. Food items observed were well-prepared, not expired, and there was a sufficient supply, with weekly deliveries documented. Interviews with seven (7) staff members denied the allegation, while four (4) were unsure. The lead cook stated that a variety of meals are freshly prepared and they cook a variety of foods. Interviews with ten (10) clients revealed they disagreed with the allegation, and one (1) agreed. No clients reported current symptoms of illness during the visit. Records reviewed included documentation of a nutrition and dehydration training conducted by a licensed nurse dated September 2025. Based on the allegation although it may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. Regarding the allegation “Staff do not ensure resident safety,” it was alleged that staff are not ensuring clients are safe at the facility.
Please see LIC9099-C for report continuation.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20251007113008
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: HIGHLAND MANOR GUEST HOME
FACILITY NUMBER: 191500823
VISIT DATE: 11/20/2025
NARRATIVE
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During the visits, the LPA observed adequate staffing levels and no immediate safety concerns. Interviews with nine (9) staff and nine (9) clients revealed they disagreed with the allegation, while two (2) staff and two (2) clients agreed. Records reviewed included attendance sheets for a safety training on patient handling conducted in September 2025, a mental health and abuse reporting training in June 2025, and a resident behavior monitoring training in May 2025. Incident reports reviewed included a timely self-reported client-on-client aggression incident, which was documented and addressed appropriately, as well as four reports showing that Client 1 (C1) was transported for medical care when needed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated.

Based on observations, interviews, and records reviewed, there is insufficient evidence to support the allegations; therefore, the allegations are unsubstantiated. No deficiencies were cited during today’s visit, and an exit interview was conducted with the administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3