198202967-5-22-2025-11-AS-SCIS-DL6VYJ-20250903165113

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198202967
Report Date: 05/19/2025
Date Signed: 05/22/2025 05:56:04 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
05/14/2025 and conducted by Evaluator Pamela Bunker

COMPLAINT CONTROL NUMBER: 11-AS-20250514123624

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:	05/19/2025
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Patel Mehul		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff do not ensure a safe environment for clients in care.
Facility staff speak inappropriately to clients in care.

INVESTIGATION FINDINGS:

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On 05/19/2025 at 9:20 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 05/19/2025 at 9:20 a.m., the Department requested and reviewed the staff and client's records and obtained copies of the following documents: Personnel Report (05/19/2025), Resident Roster (05/19/2025), Admission Agreement (05/08/2024), Identification and Emergency Information (05/08/2024), Physician's Report (05/08/2024), Medical Assessment (05/08/2024), Consent Forms (05/08/2024), Functional Capability Assessment (05/08/2024), Preplacement Appraisal Information (05/08/2024), Appraisal, Needs and Service Plan (05/08/2024), and Personal Rights (05/08/2024). Client #1 (C1) is not on any prescribed medications, and no Medication Administration Records (MARs) were found on file. Interviews were conducted with Staff #1 and #2 (S1-S2) and Clients #1 through #6 (C1-C6). See continued LIC9099-C page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

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 4

Control Number 11-AS-20250514123624

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: 05/19/2025

NARRATIVE

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Continued LIC9099-C page 2

At 12:30 P.M., The department toured the facility buildings and grounds to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. We did not observe any signs of neglect or abuse during today's visit.

Investigation revealed the following:
Allegation: Facility staff do not ensure a safe environment for clients in care.
It was alleged that facility staff do not ensure a safe environment for clients in care.

On 05/19/2025, between 9:45 A.M. - 11:20 a.m., the Department conducted a joint interview with Staff #1 and Staff #2 (S1-S2), two (2 out of 2) stated clients are provided a safe, healthful, and comfortable environment, and that staff are offering the necessary care and supervision to meet each client's needs. Both S1 and S2, two (2 out of 2) denied the allegation, further stating that neither staff nor clients provoke others or use discriminatory slurs.

On 05/19/2025, 11:20 a.m. -12:30 p.m., the Department interviewed Clients #1 through #6 (C1-C6). When asked all six (6 out of 6) clients stated that staff provide a safe environment for clients in care. Six (6 out of 6) clients stated the staff provides a safe environment, adequate care, and supervision tailored to their needs. When asked each client affirmed that they feel safe in the facility and that staff maintain a respectful and supportive environment. All six (6 out of 6) clients denied the allegation, reporting that staff do not provoke clients to yell or use discriminatory language.

The Department also interviewed Client C1’s Case Manager at Harbor UCLA Wellness (W1), who stated that although C1 has repeatedly claimed discrimination when asked for details, C1 has been unable to provide specific information regarding who, what, when, where, or how the alleged incidents occurred. W1 indicated that these statements may be related to C1's mental health condition. W1 further stated that alternative placements have been offered to C1, but C1 has refused them due to personal preference. When asked if there were any concerns regarding C1's safety or well-being at the facility, W1 responded that they had no concerns and denied the allegation.

See continued LIC9099-C page 3

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20250514123624

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: 05/19/2025

NARRATIVE

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Continued LIC9099-C page 3

***This Amended LIC9099 provides clarification of the findings and does not change them.***

Investigation revealed the following:

Allegation: Facility staff speak inappropriately to clients in care.
It was alleged that facility staff speak inappropriately to clients in care.

On 05/19/2025, between 9:45 a.m. and 11:20 a.m., the Department conducted a joint interview with Staff #1 and S#2 (S1-S2). When asked if staff speak inappropriately to clients in care. Two (2 out of 2) staff stated no. When asked if any clients have been discriminated against by staff, two (2 out of 2) staff members said that they have not witnessed or participated in any form of discrimination toward clients. When asked whether they had ever observed clients discriminating against one another, both staff members (2 out of 2) stated they had not.

The Department inquired about three individuals identified by name in the complaint as possibly making discriminatory or inappropriate remarks to Client #1 (C1). Upon review of the facility's personnel report, one of the names listed was identified as a nickname belonging to S1. The other two names mentioned were not listed on the facility's staff roster and did not appear in the personnel records. Two (2 out of 2) staff confirmed that there were no staff members currently employed under those names. Both staff members, S1 and S2, denied the allegation.

On 05/19/2025, between 11:20 a.m. and 12:30 p.m., the Department interviewed Clients #1 through #6 (C1-C6). All six (6 out of 6) clients stated that staff do not speak inappropriately to clients in care. When asked whether they had ever felt discriminated against by staff, all six (6 out of 6) clients reported they had not. When asked if they had witnessed staff discriminating against other clients, six (6 out of 6 clients stated they had not. Additionally, the Department asked whether any of the clients felt they had been discriminated against by other clients. Again, all six (6 out of 6) clients denied experiencing any discrimination from fellow clients.

See continued LIC9099-C page 2

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20250514123624

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: 05/19/2025

NARRATIVE

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Continued LIC9099-C page 4

The Department also interviewed Client C1’s Case Manager at Harbor UCLA Wellness (W1), who stated that although C1 has repeatedly claimed discrimination when asked for details, C1 has been unable to provide specific information regarding who, what, when, where, or how the alleged incidents occurred. W1 indicated that these statements may be related to C1's mental health condition. W1 further stated that alternative placements have been offered to C1, but C1 has refused them due to personal preference. When asked if there were any concerns regarding C1's safety or well-being at the facility, W1 responded that they had no concerns and denied the allegation.

The Department received and reviewed Client 1’s Physician’s Report, Appraisal/Needs, and Services Plan, which indicates that Client #1 has a condition that may cause confusion or hallucinations.

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 LIC9099 and LIC9099C Complaint Investigation Reports.

An exit interview was conducted.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

LIC9099 (FAS) - (06/04)

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