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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197607718
Report Date: 01/06/2025
Date Signed: 01/23/2025 02:00:57 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
04/15/2024 and conducted by Evaluator Pamela Bunker
COMPLAINT CONTROL NUMBER: 11-AS-20240415104646
FACILITY NAME:CENTINELA ASSISTED LIVING CENTREFACILITY NUMBER:
197607718
ADMINISTRATOR:GWENDOLYN CRAIGFACILITY TYPE:
740
ADDRESS:1000 S FLOWER STTELEPHONE:
(310) 674-3216
CITY:INGLEWOODSTATE: CAZIP CODE:
90301
CAPACITY:96CENSUS: 61DATE:
01/06/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Gwen CraigTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are financially abusing residents in care.
INVESTIGATION FINDINGS:
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The department conducted an unannounced complaint visit on Monday, January 06, 2025, Upon arrival at the facility, The department conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. The department met with Administrator Gwen Craig and explained the purpose of today's visit.

The investigation consisted of the following: Interviews were conducted with staff members S1-S2 and residents 1-6 (R1-R6). Residents' records were requested and reviewed. The department requested and reviewed the resident's records and asked for copies of the following documents: Personnel report, Resident Roster, Admission Agreement, Identification and Emergency Information, Physician's Report, Medical Assessment, Medication Administration Records (MARs), Medication Logs, Consent Forms, Functional Capability Assessment, Safeguards for Cash Resources, Preplacement Appraisal Information, Appraisal and Needs Service Plan, Individual Program Plan (IPP), and Citibank bank statements and deposits.
See continued LIC9099-C page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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 2
Control Number 11-AS-20240415104646
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: CENTINELA ASSISTED LIVING CENTRE
FACILITY NUMBER: 197607718
VISIT DATE: 01/06/2025
NARRATIVE
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Continue LIC9099-C page 2

Allegation: Staff are financially abusing residents in care.
S1-S2 and R1-R6 stated that the staff is not financially abusing residents in care. R1-R6 stated they received all their funds and had no complaints about their money or being financially abused by staff. S1-S2 stated that the facility is the payee for 12 residents, and their Social Security checks are sent directly to the facility's business office, where the checks are deposited into the Citibank account. S1 stated she is only responsible for issuing Personal and Incidental (P&I) funds to the 12 residents, who sign off on the amount they receive. S1-S2 and R1-R6 denied the allegation.

The investigation revealed the following:
Interviews were conducted with staff members 1 and 2 (S1-S2) and residents 1 through 6 (R1-R6). All individuals interviewed stated that the allegation did not occur. S1-S2 and R1-R6 stated that staff safeguard residents’ cash resources and personal property. S1-S2 and R1-R6 stated that neither the administrator nor the facility social worker is stealing money from the residents. S1-S2 and R1-R6 also reported that staff are not removing funds from residents’ bank accounts or altering records to conceal any such actions. S1-S2 stated that residents’ funds are not being taken for personal use and later returned to the accounts. S1-S2 and R1-R6 stated that residents are not complaining about not receiving their monthly payments.
According to S1, the facility is the payee for 12 residents, and their checks are deposited into Citibank by the business office, not by the administrator or the social worker. S1-S2 also stated that neither the administrator nor the social worker deposits residents’ checks. A review of the bank statements for the 12 residents for whom the facility serves as payees indicated that all Personal and Incidental P&I funds are being distributed as required. The residents’ bank records appeared accurate during the investigation. S1-S2 stated that the facility adheres to Title 22 Regulations. Based on the department Interviews with S1-S2 and R1-R6, as well as a review of relevant documents, the department did not have sufficient information or documents to substantiate the allegation. Both staff and residents denied the claim.

Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 deemed unsubstantiated. There were no deficiencies cited. An exit interview conducted
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2