191600341-10-3-2025-11-AS-UCOL-DNAQ5V-20251110105231

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191600341
Report Date: 10/03/2025
Date Signed: 10/03/2025 02:22:49 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/29/2025 and conducted by Evaluator Socorro Leandro

COMPLAINT CONTROL NUMBER: 11-AS-20250929115336

FACILITY NAME:	HUNTINGTON RETIREMENT HOTEL		FACILITY NUMBER:	191600341
ADMINISTRATOR:	HEATHER ARGUETA		FACILITY TYPE:	740
ADDRESS:	20920 EARL STREET		TELEPHONE:	(310) 370-5828
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90503
CAPACITY:	155	CENSUS: 95	DATE:	10/03/2025
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Resident Care Coordinator - Corina Khal		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff did not provide meals to residents in care in a timely manner
Staff did not provide medication assistance to residents in care in a timely manner
Staff are not able to properly transfer residents in care due to lack of staffing
Staff vape inside the facility

INVESTIGATION FINDINGS:

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On 10/03/2025, Licensing Program Analyst (LPA) Socorro Leandro conducted a subsequent complaint investigation visit regarding the allegations listed above. LPA met with Resident Care Coordinator, Corina Kahl and the purpose of the visit was explained. The LPA was allowed entry to the facility.

The investigation consisted of the following:

On 10/02/2025, resident and staff interviews were conducted, records were gathered, and the facility was toured. Resident 1 (R1) to Resident 10 (R10) and Staff 1 (S1) to Staff 7 (S7) were interviewed. Facility records were gathered which consisted of Resident Roster dated 10/02/2025, Employee Listing, Drug Free Workplace Policy, Code of Conduct, Employee Handbook, Mealtime Schedule, and Staff Trainings. R1 to R10’s records were gathered which consisted of Physicians Reports, Doctors Orders, Emergency Contact Information, and Medication Administration Records (MARs). On 10/03/2025, Witness 1 (W1) to Witness 7 (W7) were interviewed, and records were reviewed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

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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Control Number 11-AS-20250929115336

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: HUNTINGTON RETIREMENT HOTEL	FACILITY NUMBER: 191600341
	VISIT DATE: 10/03/2025

NARRATIVE

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Investigation revealed the following:

Allegation: “Staff did not provide meals to residents in care in a timely manner”, it is being alleged that meals take 30 minutes up to an hour to be served. Interviews conducted with R1 to R10 revealed the following: 10 out of 10 residents denied the allegation. Interviews conducted with S1 to S7 revealed the following: 7 out of 7 staff denied the allegation. Interviews conducted with W1 to W7 revealed the following: 7 out of 7 witnesses denied the allegation. Records Reviewed of the “New Resident Welcome Packet” under “Dietary Services” states the following: Breakfast is served at 8:00 am, Lunch is served at 12:00 pm, and Dinner is served at 5:00 pm. Observations on 10/02/205 during lunchtime revealed the following: the dining room tables were set up at around 11:30 am; the dining tables had placemats, and each placemat had cutlery set up, a cup of water and a cup of juice; residents started to go into the dining room at around 11:35 am; a caregiver left the dining room with a mobile food tray carrier at around 11:40 am and then again around 11:50 am; the serving staff started serving soup, salad, and coffee at around 11:57 am; the serving staff started serving entrees at around 12:13 pm; the serving staff started serving desert at around 12:20 pm. Observations on 10/02/205 during dinner time revealed the following: the dining room tables were set up for at around 4:20 pm; the dining tables had a placemats, and each placemat had cutlery set up, a cup of water and a cup of juice; residents started to go into the dining room at around 4:30 pm; the serving staff started serving residents starters at around 4:50 pm. Based on the department’s interviews, observations, and records reviewed this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 11-AS-20250929115336

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: HUNTINGTON RETIREMENT HOTEL	FACILITY NUMBER: 191600341
	VISIT DATE: 10/03/2025

NARRATIVE

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Allegation: “Staff did not provide medication assistance to residents in care in a timely manner.” Interviews conducted with R1 to R10 revealed the following: 10 out of 10 residents denied the allegation; furthermore, residents indicated that they receive their medication. Interviews conducted with S1 to S7 revealed the following: 7 out of 7 staff denied the allegation, furthermore, staff indicated that they have not heard of any complaints regarding this allegation. Interviews conducted with W1 to W7 revealed the following: 7 out of 7 witnesses denied the allegation, moreover, witnesses indicated that the facility does a good job at providing residents with medication and calling them if the resident requires a refill. Observations on 10/02/205 revealed the following: at around 11:20 am the Medication room was toured, and it was organized; at around 11:40 am MedTech’s started passing out medications in the dining room and finished passing out medications around 12:37 pm; at around 4:35 pm MedTech’s started passing out medications in the dining room. Records reviewed of Medication Administration Records (MARs) for R1 to R10 revealed the following: there is no documentation indicated that medications were not passed out on time. Based on the department’s interviews, observations, and records reviewed this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 11-AS-20250929115336

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: HUNTINGTON RETIREMENT HOTEL	FACILITY NUMBER: 191600341
	VISIT DATE: 10/03/2025

NARRATIVE

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Allegation: “Staff are not able to properly transfer residents in care due to lack of staffing”, it is being alleged that when using Hoyer lifts only one staff uses the equipment instead of two staff. Interviews conducted with R1 to R10 revealed the following: 9 out of 10 residents denied the allegation; 1 out 10 residents did not know how many staff use the Hoyer lift when transferring residents. Interviews conducted with S1 to S7 revealed the following: 7 out of 7 staff denied the allegation, furthermore, staff indicated that they have not seen or heard of only one staff member using the Hoyer lift. Interviews conducted with W1 to W7 revealed the following: 7 out of 7 witnesses denied the allegation, moreover, witnesses indicated that they have seen two staff members using the Hoyer lift and/or have not seen only one staff member using the Hoyer lift. Residents’ records reviewed revealed the following: R1 to R10 have doctors’ orders for Hoyer lifts. Staff records reviewed revealed the following: staff training on “Caregiver Safety Tips” which includes how to use a Hoyer lift; staff signatures acknowledging the following “I acknowledge that I will always call for another person to help when operating the Hoyer lift and agree to follow company policy at all times. I acknowledge that I received a handout of this policy”; staff signatures acknowledging that that they have received and read the “Employee Handbook”, which includes a section of mandatory “Training and Education.” Based on the department’s interviews, observations, and records reviewed this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 11-AS-20250929115336

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: HUNTINGTON RETIREMENT HOTEL	FACILITY NUMBER: 191600341
	VISIT DATE: 10/03/2025

NARRATIVE

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Allegation: “Staff vape inside the facility.” Interviews conducted with R1 to R10 revealed the following: 9 out of 10 residents denied the allegation; 1 out of 10 residents were unable to answer the question. Interviews conducted with S1 to S7 revealed the following: 7 out of 7 staff denied the allegation. Interviews conducted with W1 to W7 revealed the following: 7 out of 7 witnesses denied the allegation. Observations on 10/02/2025 and 10/03/2025 revealed the following: no staff, residents, nor visitors were observed smoking/vaping inside the facility. Staff records reviewed revealed the following: “Drug Free Workplace Policy” with staff signatures; “Code of Conduct” in the workplace; and staff signatures acknowledging that that they have received and read the “Employee Handbook”, which includes a section on “Drug-Free Workplace.” Based on the department’s interviews and observations this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were provided.

An exit interview was conducted, and a copy of this report was left with the Resident Care Coordinator, Corina Khal.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

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