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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608029
Report Date: 12/29/2025
Date Signed: 12/30/2025 02:26:04 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
12/11/2025 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20251211153009
FACILITY NAME:VISTA DEL MAR SENIOR LIVINGFACILITY NUMBER:
197608029
ADMINISTRATOR:SUZETTE JOHNSONFACILITY TYPE:
740
ADDRESS:3360 MAGNOLIA AVENUETELEPHONE:
(562) 595-1559
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:300CENSUS: 246DATE:
12/29/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Colleen RozattiTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Staff are not properly addressing scabies in the facility.
Staff do not ensure residents hygiene needs are being met.
Staff do not ensure that residents have clean bedding.
INVESTIGATION FINDINGS:
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On 12/29/25 at 9:00 am Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Colleen Rozatti as the purpose of today’s visit was explained.

The investigation consisted of the following: On 12/18/25 LPA Villegas obtained copies of the staff and resident roster, cleaning schedule, laundry schedule, shower schedule, list of residents that require assistance with ADL's. On 12/18/25 LPA obtained copies of the following for resident #1 (R1): physicians report dated: 5/10/25, physicians orders, after visit summary dated: 11/12/25, Kaiser Permanente dated: 08/16/25, and copies of communication between facility and family. On 12/18/25 from 10:00 am- 12pm LPA conducted Interviews with resident #1-10 (R1-R10), and from 1pm-1:45pm LPA conducted interviews with staff #1-5 (S1-S5). On 12/18/25 LPA conducted tour of memory care unit.

The investigation revealed the following:
Allegation: Staff are not properly addressing scabies in the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025
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 11-AS-20251211153009
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: VISTA DEL MAR SENIOR LIVING
FACILITY NUMBER: 197608029
VISIT DATE: 12/29/2025
NARRATIVE
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It is being alleged that residents in memory care may have scabies, and the facility is unable to control the spread of scabies. On 12/18/25 from 10:00 am- 12pm LPA conducted Interviews with R1-R10 regarding the allegation above. 10 of 10 residents interviewed denied the allegation above, 2 residents reported having rashes that are being treated. On 12/18/25 from 1pm-1:45pm LPA conducted interviews with S1-S5 regarding the allegation above. 5 of 5 staff interviewed denied the allegation above. 1 of the 5 staff interviewed stated that there was a resident that was taken to urgent care for scratching, however it was determined that the scratching was due to an allergic reaction for a medication that has since been discontinued. On 12/24/25 LPA conducted a review of after visit summary dated: 11/12/25, it is indicated in the after visit summary that R1 was seen for generalized rash which was found to likely be an allergic reaction and was provided with a prescription.

Allegation: Staff do not ensure residents’ hygiene needs are being met.

It is being alleged that residents are not being bathed properly and are dressed in dirty clothes. On 12/18/25 from 10:00 am- 12pm LPA conducted Interviews with R1-R10 regarding the allegation above. 7 of the 10 residents interviewed reported they do not require assistance with bathing needs, 3 of 10 residents reported obtaining bathing assistance from staff .10 of 10 residents interviewed denied the being dressed in dirty clothes. On 12/18/25 from 1pm-1:45pm LPA conducted interviews with S1-S5 regarding the allegation above. 5 of 5 staff interviewed denied the allegation above. On 12/24/25 LPA conducted a review of laundry schedule. Per laundry schedule, laundry is done daily, each resident gets their laundry done once a week unless the service plans indicate that a resident requires laundry service multiple times a week.

Allegation: Staff do not ensure that residents have clean bedding.

It is being alleged that residents' bedding isn't being changed. On 12/18/25 from 10:00 am- 12pm LPA conducted Interviews with R1-R10 regarding the allegation above. 10 of 10 residents interviewed denied the allegation above. On 12/18/25 from 1pm-1:45pm LPA conducted interviews with S1-S5 regarding the allegation above. 5 of 5 staff interviewed denied the allegation above, and reported linen exchange is done weekly, unless a resident has an accident then linen exchange is done more than once a week. On 12/18/25 LPA conducted tour of the facility and observed laundry actively being done, LPA observed 5 bedrooms that were observed to have clean linen. On 12/24/25 LPA conducted a review of laundry schedule. Per laundry schedule, laundry is done daily, each resident gets their laundry done once a week unless the service plans indicate that a resident requires laundry service multiple times a week.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20251211153009
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: VISTA DEL MAR SENIOR LIVING
FACILITY NUMBER: 197608029
VISIT DATE: 12/29/2025
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3