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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 02:23:43 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
12/22/2025 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20251222112624
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:
10:55 AM
MET WITH:Colleen Rozatti TIME COMPLETED:
03:34 PM
ALLEGATION(S):
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Staff dispose resident’s food.

INVESTIGATION FINDINGS:
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On 12/22/25 at 10:55 am Licensing Program Analyst (LPA) Villegas conducted an initial 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 12/22/25 LPA Villegas obtained copies of the staff and resident roster, and copies of the following documents for Resident #1 (R1) Emergency ID form, Physicians report dated: 2/06/25, needs and service plan dated: 11/20/24, and physicians orders. On 12/29/25 LPA obtained a copy of R1's admission agreement. On 12/22/25 and 12/29/25 LPA conducted Interviews with Residents #1-10 (R1-R10). On 12/22/25 and 12/29/25 LPA conducted interviews with S1-S6 and conducted a tour of facility.

The investigation revealed the following:
Allegation: Staff dispose resident’s food.
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 2
Control Number 11-AS-20251222112624
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 staff threw away the lunch a resident in care left in residents’ refrigerator. On 12/22/25 and 12/29/25 LPA conducted Interviews with R1-R10 regarding the allegation above. 7 of the 10 residents interviewed denied the allegation above. 1 of the 10 residents interviewed reported that staff will throw away anything in the refrigerator that is no longer good, resident reports being okay with staff doing so. 1 of the 10 residents interviewed reported they do not have a refrigerator in their bedroom therefore does not have any information on the allegation above. 1 of 10 residents interviewed confirmed the allegation above, and reported that staff admitted to doing so per supervisor’s orders. On 12/22/25 and 12/29/25 LPA conducted interviews with S1-S6 regarding the allegation above. 4 of the 6 staff interviewed denied the allegation above. 2 of the 6 staff interviewed confirmed the allegation above and stated that food is only thrown away if it is rotten or molded. Per the 2 of 6 staff who confirmed the allegation above, the resident is informed of what was thrown and why.

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: 2 of 2