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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191801803
Report Date: 08/21/2025
Date Signed: 08/21/2025 11:21:46 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
08/15/2025 and conducted by Evaluator Luis DeLeon
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250815143343
FACILITY NAME:GARDEN CRESTFACILITY NUMBER:
191801803
ADMINISTRATOR:EDWIN VILLANUEVAFACILITY TYPE:
740
ADDRESS:889 LUCILE AVETELEPHONE:
(323) 663-8281
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY:44CENSUS: 24DATE:
08/21/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Activity Director Waynn-Nietzle RomeroTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not safeguard resident’s personal belongings
Facility failed to address resident’s medical needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPA) Luis De Leon conducted an initial unannounced 10-day complaint investigation visit for the allegations listed above. LPA met with the Activities Director Waynn-Nietzle Romero and explained the reason for the visit. Ms. Romero contacted Administrator Mary Ann De Jesus Villegas to inform of today’s visit. The administrator joined the visit at 9:30 AM.

The investigation consisted of the following: On today’s visit, LPA De Leon interviewed the Administrator and obtained staff, resident rosters and discharge roster. Both resident roster and discharge roster reveal that the individual #1 (I1) does not currently reside and/or was never a resident at the facility. The interview with administrator De Jesus Villegas confirmed that the individual has not resided at the facility.

This agency has investigated the complaint alleging staff did not safeguard resident’s personal belongings, and that facility failed to address resident’s medical needs. We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened, and/or are without a reasonable basis. We therefore dismissed the complaint.

An exit interview was conducted, and a copy of this report was provided.
Unfounded
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Luis DeLeon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
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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