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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191800257
Report Date: 11/14/2025
Date Signed: 11/14/2025 12:24:32 PM

Substantiated


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
11/10/2025 and conducted by Evaluator Erik Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251110120539
FACILITY NAME:GATEWAYS SATELLITEFACILITY NUMBER:
191800257
ADMINISTRATOR:KEVIN MEJIAFACILITY TYPE:
735
ADDRESS:437 NORTH HOOVERTELEPHONE:
(323) 644-2030
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:38CENSUS: 34DATE:
11/14/2025
UNANNOUNCEDTIME BEGAN:
09:52 AM
MET WITH:Latasha Banuelos - Receptionist TIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff did not address a gas leak at the facility
Staff did not ensure that the facility is delivering hot water for residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to investigate the allegations listed above. LPA met with Latasha Banuelos, receptionist for the facility, and explained the purpose of the visit. Administrator Mayra Garcia arrived shortly therafter.

The investigation consisted of the following: LPA Erik Zaragoza obtained copies of the staff and resident rosters, conducted a tour of the facility, interviewed Staff #1 - 3 (S1 - S3), and Clients #1 - 4 (C1 - C4).

The investigation revealed the following: "Staff did not address a gas leak at the facility," it was alleged that there was a gas leak in the main building of the facility which has caused the washer and dryer to not be operable.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
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 28-AS-20251110120539
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: GATEWAYS SATELLITE
FACILITY NUMBER: 191800257
VISIT DATE: 11/14/2025
NARRATIVE
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During interviews with the clients, four (4) out of four (4) interviewed corroborated the allegation. One client interviewed stated that there was a gas leak in the washer and dryer area of the main building, that this leak caused the washer and dryer to become inoperable, and that they need to use a cottage in the back of the facility to use a separate washer and dryer. Another client interviewed also confirmed that the gas leak has caused the washer and dryer to become inoperable, and that some of the clients haven't washed their clothes due to this matter. During interviews with staff, three (3) out of three (3) corroborated the allegation. One staff explained that there had been a gas leak coming from the water boiler that was connected to the washer and dryer in the main building. Therefore they needed to cut the gas to this water boiler and disassemble it and are currently in the process of reassembling it with its appropriate parts which should be completed by today 11/14/2025. LPA observed that the water boiler was disassembled.

In regards to the allegation that "Staff did not ensure that the facility is delivering hot water for residents in care," it is alleged that there is no hot water for the showers in the main building of the facility. During interviews with the clients, four (4) out of four (4) corroborated the allegation. One of the clients interviewed stated that its true that the hot water in the main building is not working in the main building, and that therefore they are currently showering in a cottage for other males in the back of the facility if it is not occupied. Another client also confirmed that the water is cold in the main building of the facility and is leading to some of the clients to not shower. During interviews with the staff, two (2) out of three (3) corroborated the allegation. One staff explained that the hot water for the restrooms in the main building is connected to the water boiler, however this water boiler has been disassembled due to a gas leak. The staff further explained they are fixing the water boiler today to restore hot water to the main building of the facility. LPA tested the water from a faucet in one of the main building restrooms and observed that it did not provide any hot water.

Based on LPA interviews conducted with the clients and staff, the preponderance of evidence standard has been met for the above allegations, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 1 is being cited on the attached LIC9099D page.

Exit interview was held and a copy of the report along with the appeal rights were provided to the administrator.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20251110120539
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: GATEWAYS SATELLITE
FACILITY NUMBER: 191800257
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/28/2025
Section Cited
CCR
80087(a)
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(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This regulation is not met as evidenced by:
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Administrator is to ensure that the water boiler, washer, and dryer of the facility is maintained in good repair at all times. Administrator is to submit photographic proof of the repaired water boiler, washer, and dryer of the main building of the facility to the LPA by the POC due date.
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Based on interview and observation and interview, LPA determined that a gas leak in the water boiler for the main building of the facility has caused the washer and dryer in the main building to be inoperable, which poses a potential health and safety risk to clients in care.
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Type B
11/28/2025
Section Cited
CCR
80088(e)
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(e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water.

This regulation is not met as evidenced by:
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Administrator shall ensure that hot water is delivered by the showers and faucets of the restrooms in the main facility at all times. Administrator is to restore the hot water in the showers of faucets of the main building of the facility, keep a water temperature log for 3 days once restored, and email the log to (...)
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Based on observation and interview, LPA determined that there was not hot water being delivered in the showers or faucets of the main building of the facility, which poses a potential health and safety risk to clients in care.
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the LPA by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3