198202967-5-22-2025-11-AS-SCIS-DJ6TJA-20250701144558

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198202967
Report Date: 05/05/2025
Date Signed: 05/22/2025 06:10:14 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
04/25/2025 and conducted by Evaluator Pamela Bunker

COMPLAINT CONTROL NUMBER: 11-AS-20250425130252

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: 13	DATE:	05/05/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mehul Patel		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Unsafe electrical outlet presents a hazard

INVESTIGATION FINDINGS:

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

*** This is an amended Complaint Report dated 05/22/2025, which supersedes the original LIC9099 and LIC9099-C Complaint Reports dated 05/05/2025***
On 05/05/2025 at 9:30 a.m., The Department conducted an initial visit to gather information regarding the above allegations. The Department met with Administrator Mehul Patel and explained the purpose of today's visit. LPA was granted entry to the facility.

The investigation consisted of the following: On 05/05/2025 at 9:30 a.m., the department requested, reviewed, and obtained copies of the Client Roster (Dated 05/05/2025) and Personnel Report (Dated 05/05/2025). Interviews were conducted with Staff Members 1-2 (S1-S2) and Clients 1-6 (C1-C6). At 10:00 a.m., we toured the entire facility, including the office, kitchen, dining room, laundry room, and all 18 client rooms (Numbers: 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 114, 115, 116, 117, 118, 119; Room 113 does not exist). All electrical outlets in the 18 rooms were operable. No unsafe electrical outlets or potential hazards were observed. The outlets were undamaged, tested, and found to be functioning properly. See continued LIC9099-C page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025

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-20250425130252

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: 05/05/2025

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

Continued LIC9099-C page 2

There were no safety concerns noted. All the outlets were in good working condition and well maintained at the time of the visit.
Investigation revealed the following:
Allegation: Unsafe electrical outlet presents a hazard
It was alleged, on 04/25/2025, The Department received an allegation that an unsafe electrical outlet posed a hazard. A photo was submitted showing a bedroom (no room number provided) with a visibly burned electrical outlet, including a charring and a cord plugged into the bottom socket.

On 05/05/2025, between 9:30 a.m. and 10:30 a.m., the Department conducted a joint interview with staff members #1 and #2 (S1-S2), regarding the alleged allegation of an unsafe electrical outlet presenting a hazard. S1-S2 stated that the facility is maintained in a clean, safe, sanitary, condition and in good repair at all times. Both staff members two ( 2 out of 2) stated that all electrical outlets at the facility were properly installed, fully operational, and free of any hazards. Two (2 out 2) staff stated there are no wires or electrical outlets visible charring with a cord plugged into the bottom socket. S1-S2 stated none of the clients reported any electric outlet problems or issues. S1-S2 denied the allegation.

On 05/05/2025, between 10:30 a.m. and 11:50 a.m., the Department interviewed six clients #1 through #6 (C1-C6), When asked C1-C6 a question regarding the alleged unsafe electrical outlet presented as a hazard. Six (6 out of 6) clients stated they had no problems or issues with the electrical outlets in their room or elsewhere in the facility. Six (6 out of 6) clients stated the electrical outlets were functioning properly. Six (6 out of 6) clients stated they had no problem and were happy with their living conditions at the facility. C1-C6 denied the allegation.

On 04/25/2025, the Department received a photo of a room with a burned electrical outlet (The room number was not provided). The Department conducted an observation of all 18 client rooms at the facility. The room depicted in the photo did not resemble any of the rooms observed. None of the rooms contained the furniture shown in the photo, including the bed frame, pink bedspread, or wall stains near the electrical outlet. All the facility rooms have wood flooring, while the photo shows tile flooring. Based on these discrepancies, the Department was unable to verify that the room in the photo is part of the facility.
See continued LIC9099-C page #2

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20250425130252

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: 05/05/2025

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

Continued LIC9099-C page 3

Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegations. 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 deemed unsubstantiated.

There were no deficiencies cited. LPA Bunker provided Administrator Mehul Patel with copies of the Complaint Investigation Reports LIC-9099 and LIC-9099C.

An exit interview was conducted.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3