197608029-1-7-2026-11-AS-UCOL-DQSUZZ-20260129150223

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608029
Report Date: 01/07/2026
Date Signed: 01/07/2026 03:56:25 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
12/29/2025 and conducted by Evaluator Jose Calderon

COMPLAINT CONTROL NUMBER: 11-AS-20251229153904

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: 248	DATE:	01/07/2026
		UNANNOUNCED	TIME BEGAN:	08:59 AM
MET WITH:	ADMINISTRATOR COLLENE ROZATTI		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff do not ensure the residents shower is properly working
Staff do not ensure the facility is free of cockroaches
Staff do not ensure the residents are assisted with meals

INVESTIGATION FINDINGS:

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On 01/07/2026 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to Vista Del Mar Senior Living and was greeted by Administrator Colleen Rozatti (S1). LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations.
The investigation consisted of the following: LPA Calderon interviewed Staff S1-S5, residents R1-R24. LPA Calderon obtained the following records: Housekeeping (dated 01/2026), work order for room 120 (dated 12/29/2025), deep cleaning schedule (dated 01/01/2026), Dewey Pest Control (dated 10/01/2025 to 12/26/2025)
The investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

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-20251229153904

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: 01/07/2026

NARRATIVE

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Regarding the Allegation: Staff do not ensure the residents shower is properly working.

This complaint alleged that the facility did not provide a working shower for residents’ needs. LPA Calderon inspected room 120 and noted the shower head dripping but working. LPA Calderon inspected rooms 125, 132, 134 and room 206. All showers were working. Records review indicate the following: Work order (dated 12/26/2025) to fix shower head in room 120 was ordered. Interviews indicate the following: S2 indicates that resident in room 120 the shower head was dripping, and a new part was ordered. S2 states that the shower works. 5 out of 5 staff deny the allegation. R1 was not in room for interview. 23 out of 24 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not ensure the residents shower is properly working” is found to be UNSUBSTANTIATED.

Regarding the Allegation: Staff do not ensure the facility is free of cockroaches.

This complaint alleged that the facility did not provide a free environment with no cockroaches. LPA Calderon inspected room 120 and found no cockroaches. LPA Calderon inspected rooms 125, 132, 134 and room 206. All rooms clear and did not find any cockroaches. LPA Calderon checked the dining room, kitchen and common areas and did not see any cockroaches. Records review indicate the following: Dewey Pest Control (dated 10/01/2025 to 12/26/2025), work orders show rooms were treated and common areas showed no sign of cockroaches. Deep cleaning order (dated 01/01/2026) showed room 120 was cleaned and no cockroaches were found. Interviews indicate the following: 5 out of 5 staff deny the allegation. S2 indicates that 20 rooms are treated per day to include room 120. R1 was not in room for interview. 23 out of 24 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not ensure the facility is free of cockroaches” is found to be UNSUBSTANTIATED.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20251229153904

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: 01/07/2026

NARRATIVE

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Regarding the Allegation: Staff do not ensure the residents are assisted with meals.

This complaint alleged that the facility did not provide meals for residents in care. LPA Calderon toured the facility and noted many residents taking their meals in the dining room. LPA Calderon noted a food cart for those residents that cannot take their meals in the dining room. Resident meals include a food tray and fork, spoon and the meal. Interviews indicate the following: S1 indicates that residents in room 120 takes meals in the room. Staff indicate that meal staff from the dining room provide the residents with meals and a fork. 5 out of 5 staff deny the allegation. R1 was not in room for interview. 23 out of 24 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not ensure the residents are assisted with meals is found to be UNSUBSTANTIATED.

No deficiencies cited during today's visit.

An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Colleen Rozatti (S1).

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

LIC9099 (FAS) - (06/04)

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