197608482-5-12-2026-28-AS-FFIS-DUFQ6G-20260526115332

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608482
Report Date: 05/12/2026
Date Signed: 05/12/2026 05:50:04 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/04/2026 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260504170528

FACILITY NAME:	KINGSLEY MANOR		FACILITY NUMBER:	197608482
ADMINISTRATOR:	LIYON O'QUINN		FACILITY TYPE:	740
ADDRESS:	1055 NORTH KINGSLEY DRIVE		TELEPHONE:	(323) 661-1128
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90029
CAPACITY:	299	CENSUS: 160	DATE:	05/12/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Executive Director, Liyon O'Quinn		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff do not keep the facility free of pests.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation that staff do not keep the facility free of pests. LPA arrived unannounced and met with the Executive Director, Liyon O’Quinn. The purpose of the visit was explained.

LPA toured the facility and selected ten (10) rooms to inspect. LPA obtained copies of the resident and staff rosters as well as pest control reports. Interviews were held with the Administrator, four (4) Staff, ten (10) residents, and the pest control specialist.

Allegation – Staff do not keep the facility free of pests. It is alleged that a resident has not been able to sleep in their own bed for months due to having bed bugs, and the facility does not keep free it of roaches. LPA interviewed the administrator and four (4) staff who stated that they will treat the areas where pests are found immediately. The facility has regular pest control services to spray the buildings at least monthly.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

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 28-AS-20260504170528

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: KINGSLEY MANOR	FACILITY NUMBER: 197608482
	VISIT DATE: 05/12/2026

NARRATIVE

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Any rooms that are reported to have bed bugs or other pests are also inspected and serviced by the specialist. Staff stated that the residents are relocated to another room as their rooms are being treated. For one resident, it was recommended that the resident dispose of the bed because the bed bugs could be embedded in the wooden frame. However, the resident would not allow the removal of the bed to help eradicate the bed bugs.

LPA spoke to the pest control specialist, who stated that they visit the facility every other week to inspect and treat for cockroaches and other pests, as well as bed bugs if needed. LPA reviewed pest control invoices for March, April, and May. The reports show that the specialist has been inspecting and treating any sightings of roaches and bed bugs. Based on information gathered, the facility is taking action to prevent pests in the facility and continuing to treat rooms where pests are observed.

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 UNSUBSTANTIATED.

An exit interview was conducted with the Administrator. A copy of this report, along with the appeal rights, was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

LIC9099 (FAS) - (06/04)

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