191500823-4-9-2026-11-AS-PMAA-DV6NL6-20260618103302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191500823
Report Date: 04/09/2026
Date Signed: 04/09/2026 05:09:23 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
04/02/2026 and conducted by Evaluator Jose Anguiano

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260402153449

FACILITY NAME:	HIGHLAND MANOR GUEST HOME		FACILITY NUMBER:	191500823
ADMINISTRATOR:	AARON KHODORKOVSKY		FACILITY TYPE:	735
ADDRESS:	3570 E. IMPERIAL HWY.		TELEPHONE:	(310) 631-7569
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	106	CENSUS: 106	DATE:	04/09/2026
		UNANNOUNCED	TIME BEGAN:	08:01 AM
MET WITH:	Itzia Maciel		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff engaged in an inappropriate relationship with clients.
Staff is financially abusing clients.
Staff did not safeguard client’s medication.

INVESTIGATION FINDINGS:

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On 04/09/2026 at approximately 8:00 AM, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced complaint visit regarding the above allegations. LPA met with Administrator Assistant Itzia Maciel.
The investigation consisted of the following: LPA toured the facility, interviewed 11 residents (C1–C11), interviewed 6 staff (S1–S6), conducted an interview with (W1), and reviewed facility records including prior investigation reports and staff files. LPA gathered and reviewed staff and resident rosters. Three (3) internal investigation summary reports were reviewed and collected. Medication Administration Records (MAR) for (C1) dated November 2024 through March 2025 were reviewed. Two (2) staff files were reviewed.
Regarding the allegation, “Staff engaged in an inappropriate relationship with a resident,” it was alleged that former staff, identified as Witness (W1), had a romantic relationship with Client (C1).

Please see report comtinuation on (LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

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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Control Number 11-AS-20260402153449

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: 04/09/2026

NARRATIVE

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Interviews conducted with clients (C1–C11) and staff (S1–S6) revealed that 1 out of 11 clients (C1) reported the relationship existed. Three staff reported hearing from (C1) or other staff that a relationship existed; however, no staff reported directly observing or independently confirming the relationship between both parties. The remaining 10 clients denied knowledge of the relationship. (W1), former staff, declined to provide a statement or interview, which limits corroboration of the allegation and leaves only one direct reporting source without independent verification. Records reviewed included a prior facility investigation in which both parties denied the relationship. Based on interviews, observations, and records reviewed, although the allegation may have occurred, there is insufficient evidence to meet the preponderance standard. Therefore, the allegation is UNSUBSTANTIATED.

Regarding the allegation, “Staff financially abused a client,” it was alleged that staff used clients’ funds for personal use. Interviews conducted with clients (C1–C11) and staff (S1–S6) revealed that 0 out of 11 clients and 0 out of 6 staff denied the allegation. One Staff (S3) acknowledged a prior incident in which they assisted Client (C2) with a food purchase and later reimbursed the client. Records reviewed and documented by (S1) indicated that this incident was addressed and resolved by the facility. Based on interviews, observations, and records reviewed, although the allegation may have occurred, there is insufficient evidence to meet the preponderance standard. Therefore, the allegation is UNSUBSTANTIATED.

Regarding the allegation, “Staff did not safeguard resident’s medication,” it was alleged that medications were left with residents and not properly supervised. Interviews conducted with clients (C1–C11) and staff (S1–S6) indicated that 0 out of 11 clients reported medications being left in rooms, while 2 out of 6 staff reported concerns regarding medications being left with residents or found in rooms, and the remaining 4 staff denied such practices. Observations revealed no medications left in resident rooms during the visit. Records reviewed, including the Medication Administration Record (MAR) for (C1), were explained by (S5) as accurate and did not indicate discrepancies in administration. Based on interviews, observations, and records reviewed, although the allegation may have occurred, there is insufficient evidence to meet the preponderance standard. Therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was provided to the Administrator Assistant.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

LIC9099 (FAS) - (06/04)

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