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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197802527
Report Date: 01/07/2026
Date Signed: 01/07/2026 03:24:41 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 Deborah Lee
COMPLAINT CONTROL NUMBER: 11-AS-20251229113000
FACILITY NAME:SCANDIA GUEST LODGEFACILITY NUMBER:
197802527
ADMINISTRATOR:ERICKA JIMENEZFACILITY TYPE:
735
ADDRESS:1248 E. 10TH STREETTELEPHONE:
(562) 599-2451
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:74CENSUS: 58DATE:
01/07/2026
UNANNOUNCEDTIME BEGAN:
08:12 AM
MET WITH:Ericka JimenezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff do not ensure the residents are smoking in the designated smoking area
Staff do not ensure the facility is free of rodents
Staff do not ensure the residents have hot water available
INVESTIGATION FINDINGS:
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On January 7, 2026, Licensing Program Analyst (LPA) Deborah Lee conducted an initial visit to gather information regarding the above allegations. LPA met with Erika Jimenez and the purpose of the visit was explained. LPA was granted entry to the facility.

The investigation consisted of the following:
On 1/7/26, LPA Lee obtained the following documents: Staff roster (dated 10/25/25), client roster (dated 8/21/25), C1’s Admission Agreement (dated 9/2/25), C1-C6 signed House rules (dated 12/9/03, 3/27/25, 1/26/24, 1/1/26, 5/11/23 , 8/1/95), Terminix maintenance service invoices (dated 1/7/26, 12/16/25, 12/2/25)
On 1/7/26, LPA Lee toured the facility including common areas and inspected 4 client apartments. LPA Lee interviewed Administrator, ( A1), Co-Administrator (A2), 4 staff (S1-S4), 6 clients (C1-C6) and 1 witness (W1).
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
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)
Page: 1 of 6
Control Number 11-AS-20251229113000
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: SCANDIA GUEST LODGE
FACILITY NUMBER: 197802527
VISIT DATE: 01/07/2026
NARRATIVE
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The investigation revealed the following:

Allegation: Staff do not ensure the residents are smoking in the designated smoking area

The detail of the complaint alleges “Since September 2025, residents have smoked wherever they want throughout the building, and some smoke outside of R1’s door.”

On 1/7/26 at 10:35am LPA Lee interviewed Administrator (A1) Ericka Jimenez who denied the allegation stating that all clients smoke in the smoking area outside which is marked by a red line and the clients understand that they are to only smoke in that area. Additionally, A1 stated that at times there are clients who may be outside of the smoking area, but they are redirected back to the designated area. On 1/7/26, LPA Lee interviewed the Co-Administrator (A2) Jeff Radaich, who also denied allegation and reiterated that clients are aware of smoking area, and they are quickly redirected to the designated area if needed. Lastly, A2 stated that there is absolutely no smoking inside the apartments and/or in common areas where food is served and the clients are all aware.

On 1/7/26, between 10:45am and 12:02pm LPA Lee interviewed 4 staff (S1-S4) regarding the allegation. Of those interviewed 4 out of 4 denied the allegation stating, they have not witnessed any other clients smoking inside the common areas and that the clients smoke in the designated area. 4 out of 4 staff state that if clients are smoking outside of the designated area, then they are told to return to the smoking area.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
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)
Page: 2 of 6
Control Number 11-AS-20251229113000
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: SCANDIA GUEST LODGE
FACILITY NUMBER: 197802527
VISIT DATE: 01/07/2026
NARRATIVE
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On 1/7/26, between 11:21am and 12:15pm, LPA Lee interviewed 6 Clients (C1-C6), of those interviewed, 6 out of 6 stated that they are aware of the house rules regarding smoking--that they must smoke in the smoking area. 4 out of 6 stated that they have not witnessed any other clients smoking outside of the smoking area. 2 out of 6 stated that they have witnessed clients smoking outside of the smoking area but noted that they are asked to return to the area by staff.

On 1/7/26, LPA Lee reviewed and evaluated the facility house rules regarding smoking and found that each resident signed the rules upon admission to the facility.

On 1/7/26, during facility tour, LPA Lee observed the clients smoking in the designated smoking area. LPA Lee also observed that there were “no smoking” signs posted in various locations around the facility.

Based on the information gathered there is insufficient evidence to support the allegation mentioned above; 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.

Allegation: Staff do not ensure the facility is free of rodents

The detail of the complaint alleges “mice has been seen in the facility: R1’s apartment, common area and in the kitchen.”

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
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)
Page: 3 of 6
Control Number 11-AS-20251229113000
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: SCANDIA GUEST LODGE
FACILITY NUMBER: 197802527
VISIT DATE: 01/07/2026
NARRATIVE
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On 1/7/26 at 10:35am LPA Lee interviewed Administrator (A1) Ericka Jimenez and Co-Administrator (A2) who stated that the facility uses Terminix company who comes to facility twice per month to ensure that the facility is free of pest and rodents. According to A1 and A2, if a client mentions that they see a rodent Terminix is called immediately.

On 1/7/26, between 10:45am and 12:02pm LPA Lee interviewed 4 staff (S1-S4) regarding the allegation. Of those interviewed 4 out of 4 denied the allegation stating, they have not seen any rodents in the facility, nor have any clients mentioned to them that they have seen rodents. Lastly, 4 out of 4 state that the Terminix company comes to out regularly as a preventative measure.

On 1/7/26, between 11:21am and 12:15pm, LPA Lee interviewed 6 Clients (C1-C6), of those interviewed, 4 out of 6 stated that they have never seen a rodent in the facility. 2 out of 6 stated that they have seen a rodent while at the facility. 6 out of 6 stated they have seen the Terminix person out at the facility on a regular basis.

On 1/7/26 at 10:57am, LPA Lee interviewed Witness 1 (W1) who was at the facility to do maintenance pest control prevention. W1 stated that he comes out to the facility to by weekly to conduct inspections and do preventative measures for ensuring that the facility is free of pests. W1 went on to state that because of the weather, there is a chance for mice to try to come and find shelter, so if he is alerted that someone has seen a rodent then, he would set traps down. However, W1 has not seen any rodents or evidence of rodents during his recent visit. Lastly, W1 stated that he advises to the facility, to remind the clients that no food should be allowed in their room/apartment because it attracts pests.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
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)
Page: 4 of 6
Control Number 11-AS-20251229113000
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: SCANDIA GUEST LODGE
FACILITY NUMBER: 197802527
VISIT DATE: 01/07/2026
NARRATIVE
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On 1/7/26, LPA Lee reviewed and evaluated the Terminix maintenance service invoices (dated 1/7/26, 12/16/25, 12/2/25) which shows that facility maintains a regular schedule of preventive measures to keep facility free of pests.

On 1/7/26 LPA Lee inspected the physical plant and observed that it was clean and sanitary with no signs of “mice droppings.”

Based on the information gathered there is insufficient evidence to support the allegation mentioned above; 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.

Allegation: Staff do not ensure the residents have hot water available

The detail of the complaint alleges that “for the past week R1 has had to take cold showers because the hot water is not working properly.

On 1/7/26, LPA Lee interviewed Administrator (A1) and Co-Administrator (A2) who denied the allegation, stating that the water temperature is in the normal range, However, according to A2, the water heater had to be turned up to get the desired temperature for a resident.

On 1/7/26, between 11:21am and 12:15pm, LPA Lee interviewed 6 Clients (C1-C6), of those interviewed 5 out of 6 stated that there has been no issue with the hot water, that they have access to hot water. 1 out of 6 stated that, “the issue was the hot water heater not being turned up high enough and once the staff turned it up it was fine.”

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
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)
Page: 5 of 6
Control Number 11-AS-20251229113000
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: SCANDIA GUEST LODGE
FACILITY NUMBER: 197802527
VISIT DATE: 01/07/2026
NARRATIVE
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On 1/7/26, LPA Lee checked the water temperature which measured between 105- and 120-degrees F.

Based on the information gathered there is insufficient evidence to support the allegation mentioned above; 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.

There were no deficiencies cited during today's visit.

Exit interview conducted and copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
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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