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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608842
Report Date: 12/30/2025
Date Signed: 12/30/2025 02:25:16 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
12/26/2025 and conducted by Evaluator Elvira Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251226141305
FACILITY NAME:SUNNY HILLS ASSISTED LIVING (MEMORY CARE)FACILITY NUMBER:
197608842
ADMINISTRATOR:SUNGNAM PARK "SUSAN"FACILITY TYPE:
740
ADDRESS:8717 WEST OLYMPIC BLVD.TELEPHONE:
(310) 659-4301
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:120; 120CENSUS: 69DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Chansook KooTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Staff does not ensure facility is free of pests.
INVESTIGATION FINDINGS:
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On 12/30/25, LPA Gonzalez conducted an unannounced complaint investigation visit for the allegation listed above. LPA met with Chansook Koo, receptionist, and explained the purpose of the visit. LPA was granted access to the facility. Administrator, Steve Cho, joined LPA for the visit shortly after.

The investigation consisted of the following: On 12/30/25, LPA Gonzalez collected the following documents: staff roster, resident roster, and service invoices from OK Exterminators dated 11/07/25 and 12/12/25. LPA conducted interviews with staff #1-#5 (S1-S5), and residents #1-#6 (R1-R6). Additionally, LPA Gonzalez and Chansook Koo conducted a tour of the entire facility, and inspected resident rooms, kitchen and common areas.


Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
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-20251226141305
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: SUNNY HILLS ASSISTED LIVING (MEMORY CARE)
FACILITY NUMBER: 197608842
VISIT DATE: 12/30/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff does not ensure facility is free of pests. It is being alleged that live German cockroaches were observed on facility’s kitchen floor. On 12/30/25, LPA Gonzalez conducted interviews with S1-S5. Of those interviewed, 5 out of 5 staff denied the allegation. 5 out 5 staff said pest control services are provided monthly.

On 12/30/25, LPA Gonzalez conducted interviews with R1-R6. Of those interviewed, 6 out of 6 residents could not corroborate with the allegation.

During a records review conducted on 12/30/25, LPA reviewed pest control service invoices from OK Exterminators dated 11/07/25 and 12/12/25. Documentation reflected that general pest control services were performed on the referenced dates.

On 12/30/25, LPA and Chansook Koo conducted a tour of the facility and inspected rooms #113 and #114 on the first floor, rooms #228 and #229 on the second floor, rooms #301 and #306 on the third floor, as well as the kitchen and common areas. LPA observed the inspected areas to be clean and free of pests.

Based on observation, records reviewed, and interviews conducted, the department did not find sufficient evidence to support the allegation. 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.


No deficiencies were cited during this investigation.


An exit interview was conducted, and a copy of this report was provided to Steve Cho.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2