198202967-3-19-2025-11-AS-EMAZ-DFMSS5-20250411140721

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198202967
Report Date: 03/19/2025
Date Signed: 03/19/2025 02:08:15 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2025 and conducted by Evaluator Wendy Gibbs

COMPLAINT CONTROL NUMBER: 11-AS-20250310154327

FACILITY NAME:	ANAND CARE CENTER III		FACILITY NUMBER:	198202967
ADMINISTRATOR:	MEHUL PATEL		FACILITY TYPE:	735
ADDRESS:	11143 SOUTH PRARIE AVE		TELEPHONE:	(310) 419-1225
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90303
CAPACITY:	20	CENSUS: 14	DATE:	03/19/2025
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Mehul Patel		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are discriminating against client(s)

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 03/19/2025 at 8:47AM, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced complaint visit to the facility listed above. LPA met with Administrator, Mehul Patel, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The investigation consisted of the following:
During today’s visit, the LPA inspected the facility, interviewed Staff S1 and S2, interviewed Clients C1-C7, and received documents pertinent to the investigation. The following documents were received and reviewed, Staff Roster, Client Roster, Client C1’s Identification and Emergency Information, Admission Agreement, Physician’s Report, Consent Forms, Preplacement Appraisal Information, Appraisal/Needs and Services Plan, Personal Rights Adult Community Care Facilities (LIC613), Functional Capability Assessment, and Special Incident Report (SIR).

The investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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 3

Control Number 11-AS-20250310154327

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ANAND CARE CENTER III	FACILITY NUMBER: 198202967
	VISIT DATE: 03/19/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Allegation: Staff are discriminating against client(s)
The detail of the allegation alleges staff discriminate against Client on the basis of race, age, sex, disability, religion, etc.

During the facility tour, LPA observed the Clients Personal Rights posted in the dining room. LPA received and reviewed Client C1’s Physician’s Report, and Appraisal/Needs and Services Plan that indicates C1 has a condition that can cause confusion or hallucinations.

During interviews with Staff S1 and S2, were asked if any residents have been discriminated against by staff, two (2) out of two (2) stated staff do not discriminate against residents. Additionally, Staff S1 and S2 were asked if they have observed a client discriminate against another client, two (2) out of two (2) stated they have not observed any clients discriminate against another client.
During interviews with Clients C1 – C7, were asked if staff have made them feel discriminated against, six (6) out of seven (7) stated they have not been made to feel discriminated against by any staff. Client C1 – C7 were asked if they have seen staff discriminate against another client, six (6) out of seven (7) stated they have not observed staff discriminate against any clients in the facility. Additionally, Clients C1-C7 were asked if they have felt discriminate against by other Clients, six (6) out of seven (7) stated they have not been made to feel discriminated against by other clients.
During interviews with Client C1, they provided names of staff and clients that are discriminating against them. LPA reviewed the Resident Roster and Staff Roster and did not observe any of the names listed on either roster.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20250310154327

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ANAND CARE CENTER III	FACILITY NUMBER: 198202967
	VISIT DATE: 03/19/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA interviewed Client C1’s Case Manager at Harbor UCLA Wellness (W1), who stated C1 has continuously stated they are being discriminated against, and when I ask about it C1 is unable to tell me who, when, or specify what was said or
threatened. Additionally, W1 stated it sounds like part of C1 mental health condition. W1 stated they have found other places for C1 to move but when they show C1 the accommodations C1 does not like them or does not want to go. When asked if W1 has any concerns of C1 remaining at the facility, W1 stated No they have no concerns for C1’s safety and wellbeing at the facility.

During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

During today's visit, LPA did not observe or cite any deficiencies.

An exit interview was conducted with Administrator, Mehul Patel, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3