197608029-5-8-2026-11-AS-PMAA-DW8TVJ-20260722150400

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608029
Report Date: 05/08/2026
Date Signed: 05/08/2026 04:10:47 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
01/22/2026 and conducted by Evaluator Socorro Leandro

COMPLAINT CONTROL NUMBER: 11-AS-20260122103758

FACILITY NAME:	VISTA DEL MAR SENIOR LIVING		FACILITY NUMBER:	197608029
ADMINISTRATOR:	SUZETTE JOHNSON		FACILITY TYPE:	740
ADDRESS:	3360 MAGNOLIA AVENUE		TELEPHONE:	(562) 595-1559
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90806
CAPACITY:	300	CENSUS: 245	DATE:	05/08/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Executive Director - Suzette Johnson.		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff did not shower residents in care
Staff did not wash residents’ clothing
Staff do not practice proper hand hygiene when handling foods
Staff did not provide housekeeping services to residents
Staff did not maintain facility restrooms in a clean condition
Intoxicated residents engage in loud and disruptive behaviors in the facility

INVESTIGATION FINDINGS:

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On 05/08/2026, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced continuation complaint investigation visit regarding the allegations listed above. LPA met with the Executive Director, Suzette Johnson, and the purpose of the visit was explained. LPA was granted entry to the facility.

Investigation consisted of the following:

On 1/29/2026, a facility tour was conducted and Resident 1 (R1) to Resident 10 (R10) and Witness 1 (W1) to Witness 2 (W2) were interviewed. On 04/09/2026, a facility tour was conducted and Staff 1 (S1) to Staff 13 (S13) and Resident 11 (R11) to Resident 14 (R14) were interviewed. On 4/10/2026, nine resident Medication Administration Records (MARs) were reviewed along with their medications. On 05/05/2026, Witness 1 (W1) to Witness 9 (W9) were interviewed. On 05/06/2026, Witness 10 (W10) was interviewed. On 05/08/2026, Witness 11 (W11) to Witness 13 (W13) were interviewed. Records were gathered and reviewed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

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-20260122103758

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: VISTA DEL MAR SENIOR LIVING	FACILITY NUMBER: 197608029
	VISIT DATE: 05/08/2026

NARRATIVE

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The investigation revealed the following:

Allegation: “Staff did not shower residents in care.” Interviews conducted with S1 to S13 revealed the following: 13 out of 13 staff denied the allegation. Interviews conducted with R1 to R14 revealed the following: 3 out of 14 residents were unable to corroborate the allegation; 11 out of 14 residents denied the allegation. Interviews conducted with W1 to W13 revealed the following: 11 out of 13 witnesses denied the allegation; 2 out of 13 witnesses agreed with the allegation. Records reviewed revealed the following: The facility has a shower schedule for the Memory Care Unit and the Assisted Living Unit. Observations revealed the following: residents in the Memory Care Unit and Assisted Living Unit appeared to be groomed on a routine basis. Unsubstantiated: 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.

Allegation: “Staff did not wash residents’ clothing.” Interviews conducted with S1 to S13 revealed the following: 13 out of 13 staff denied the allegation. Interviews conducted with R1 to R14 revealed the following: 3 out of 14 residents were unable to corroborate the allegation; 11 out of 14 residents denied the allegation. Interviews conducted with W1 to W13 revealed the following: 13 out of 13 witnesses denied the allegation. Records reviewed revealed the following: The facility has a laundry schedule for the Memory Care Unit and the Assisted Living Unit. Observations revealed the following: laundry rooms were toured in the Memory Care Unit and Assisted Living Unit, and staff were washing clothes and taking clean clothes to residents’ units. Resident rooms were toured in the Memory Care Unit and Assisted Living Unit and residents had clean clothes available to them. Unsubstantiated: 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.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260122103758

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: VISTA DEL MAR SENIOR LIVING	FACILITY NUMBER: 197608029
	VISIT DATE: 05/08/2026

NARRATIVE

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Allegation: “Staff do not practice proper hand hygiene when handling foods.” Interviews conducted with S1 to S13 revealed the following: 13 out of 13 staff denied the allegation. Interviews conducted with R1 to R14 revealed the following: 3 out of 14 residents were unable to corroborate the allegation; 11 out of 14 residents denied the allegation. Interviews conducted with W1 to W13 revealed the following: 13 out of 13 witnesses denied the allegation. Records reviewed revealed the following: On 06/15/2025, staff were trained on hand washing for handling food. Observations revealed the following: staff appeared to be in good hand hygiene during mealtimes in the Memory Care Unit and Assisted Living Unit. Unsubstantiated: 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.

Allegation: “Staff did not provide housekeeping services to residents.” Interviews conducted with S1 to S13 revealed the following: 13 out of 13 staff denied the allegation. Interviews conducted with R1 to R14 revealed the following: 3 out of 14 residents were unable to corroborate the allegation; 11 out of 14 residents denied the allegation. Interviews conducted with W1 to W13 revealed the following: 11 out of 13 witnesses denied the allegation; 2 out of 13 witnesses agreed with the allegation. Records reviewed revealed the following: The Memory Care Unit has a cleaning/organizing schedule for residents’ rooms. The Assisted Living Unit has a Deep Cleaning Schedule. Observations revealed the following: Housekeepers were present in the facility providing housekeeping services to residents in care, for example, cleaning resident rooms and cleaning communal areas. Tours of the Memory Care Unit and Assisted Living Unit were conducted, and rooms appeared to be clean; Memory Care Unit Rooms were very well organized. Unsubstantiated: 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.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260122103758

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: VISTA DEL MAR SENIOR LIVING	FACILITY NUMBER: 197608029
	VISIT DATE: 05/08/2026

NARRATIVE

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Allegation: “Staff did not maintain facility restrooms in a clean condition.” Interviews conducted with S1 to S13 revealed the following: 13 out of 13 staff denied the allegation. Interviews conducted with R1 to R14 revealed the following: 3 out of 14 residents were unable to corroborate the allegation; 11 out of 14 residents denied the allegation. Interviews conducted with W1 to W13 revealed the following: 13 out of 13 witnesses denied the allegation. The Memory Care Unit has a cleaning/organizing schedule for residents’ rooms. The Assisted Living Unit has a Deep Cleaning Schedule. Observations revealed the following: Housekeepers are present in the facility providing housekeeping services to residents in care, for example, cleaning resident bathrooms. Tours of the Memory Care Unit and Assisted Living Unit were conducted; resident bathrooms appeared to be clean and sanitary. Unsubstantiated: 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.

Allegation: “Intoxicated residents engage in loud and disruptive behaviors in the facility.” Interviews conducted with S1 to S13 revealed the following: 13 out of 13 staff denied the allegation. Interviews conducted with R1 to R14 revealed the following: 3 out of 14 residents were unable to corroborate the allegation; 11 out of 14 residents denied the allegation. Interviews conducted with W1 to W13 revealed the following: 13 out of 13 witnesses denied the allegation. Records reviewed revealed the following: there were no unusual incident reports indicating that residents were intoxicated engaging in loud and disruptive behaviors in the facility. Observations revealed the following: residents were not observed intoxicated engaging in loud and disruptive behaviors. Unsubstantiated: 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.

No deficiencies were cited.

An exit interview was conducted, and a copy of this report was left with the Executive Director, Suzette Johnson.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC9099 (FAS) - (06/04)

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