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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198204079
Report Date: 04/30/2026
Date Signed: 04/30/2026 05:05:24 PM

Substantiated


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
03/16/2026 and conducted by Evaluator Elvira Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260316113251
FACILITY NAME:SPRING SENIOR ASSISTED LIVINGFACILITY NUMBER:
198204079
ADMINISTRATOR:MONNIECE BOATWRIGHTFACILITY TYPE:
740
ADDRESS:20900 EARL STREETTELEPHONE:
(310) 370-3594
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY:51CENSUS: 37DATE:
04/30/2026
UNANNOUNCEDTIME BEGAN:
03:16 PM
MET WITH:Wendy DavilaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff are taking resident's money.
INVESTIGATION FINDINGS:
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On 04/30/26, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced complaint visit to investigate the above mentioned allegations. LPA met with Business Office Manager, Wendy Davila, and explained the purpose of the visit. LPA was granted entry to the facility.

The investigation consisted of the following: On 03/20/26, the department obtained the staff roster, resident roster, End of Shift Report, Incontinent Resident list, and a copy of an email thread between R1’s family and facility staff. The department reviewed service records for residents #1-#3 (R1-R3) and requested copies of the following documents for their files: Admission Agreement, Facesheet, Physician’s Report, Appraisal/Needs & Services Plan, Resident Personal Property and Valuables, and Personal Rights. Additionally, the department conducted interviews with staff #1-#6 (S1-S6), witness #1-#2 (W1-W2), residents #1-#5 (R1-R5), and attempted to interview residents #6-#7 (R6-R7). Furthermore, the department conducted a tour of the facility, and inspected resident bedrooms, and common areas.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
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 5
Control Number 11-AS-20260316113251
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: SPRING SENIOR ASSISTED LIVING
FACILITY NUMBER: 198204079
VISIT DATE: 04/30/2026
NARRATIVE
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The investigation revealed the following:

For the allegation: Staff are taking resident's money. It is alleged that staff took money from a resident’s drawers. On 03/19/26, the department conducted interviews with S1–S6. Of those interviewed, 6 out of 6 staff denied the allegation.

On 03/19/26, the department conducted interviews with R1-R5, and attempted to interview R6-R7, but was unable to as the residents were asleep. Of those interviewed, 3 out of 5 residents corroborated the allegation.

On 03/20/25, the department conducted interviews with witnesses #1-#2 (W1-W2). Of those interviewed, 1 out of 2 witnesses corroborated the allegation.

Based on records reviewed, and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

An exit interview was conducted, and a copy of the report, along with appeal rights was provided to Wendy Davila.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
03/16/2026 and conducted by Evaluator Elvira Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260316113251

FACILITY NAME:SPRING SENIOR ASSISTED LIVINGFACILITY NUMBER:
198204079
ADMINISTRATOR:MONNIECE BOATWRIGHTFACILITY TYPE:
740
ADDRESS:20900 EARL STREETTELEPHONE:
(310) 370-3594
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY:51CENSUS: 37DATE:
04/30/2026
UNANNOUNCEDTIME BEGAN:
03:16 PM
MET WITH:Wendy DavilaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left resident in soiled diapers for an extended period of time
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
8
9
10
11
12
13
On 04/30/26, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced complaint visit to investigate the above mentioned allegations. LPA met with Business Office Manager, Wendy Davila, and explained the purpose of the visit. LPA was granted entry to the facility.

The investigation consisted of the following: On 03/20/26, the department obtained the staff roster, resident roster, End of Shift Report, Incontinent Resident list, and a copy of an email thread between R1’s family and facility staff. The department reviewed service records for residents #1-#3 (R1-R3) and requested copies of the following documents for their files: Admission Agreement, Facesheet, Physician’s Report, Appraisal/Needs & Services Plan, Resident Personal Property and Valuables, and Personal Rights. Additionally, the department conducted interviews with staff #1-#6 (S1-S6), witness #1-#2 (W1-W2), residents #1-#5 (R1-R5), and attempted to interview residents #6-#7 (R6-R7). Furthermore, the department conducted a tour of the facility, and inspected resident bedrooms, and common areas.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20260316113251
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: SPRING SENIOR ASSISTED LIVING
FACILITY NUMBER: 198204079
VISIT DATE: 04/30/2026
NARRATIVE
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The investigation revealed the following:

For the allegation: Staff left resident in soiled diapers for an extended period of time. It is alleged that staff do not change a residents diapers on a daily basis. It is also being alleged that staff let the resident sit on their own urine or feces. On 03/19/26, the department conducted interviews with S1–S6. Of those interviewed, 6 out of 6 staff denied the allegation. 6 out of 6 staff said they treat all residents with dignity and respect.

On 03/19/26, the department conducted interviews with R1–R5, and attempted to interview R6-7, but was unable to as the residents were sleeping. Of those interviewed, 4 out of 5 residents could not corroborate the allegation, while 1 out of 5 residents agreed with the allegation. 5 out of 5 residents said staff treat them with dignity and respect, and that they are satisfied with the services provided to them.

Based on observation, and interviews conducted, there is insufficient 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.

An exit interview was conducted, and a copy of the report, along with appeal rights was provided to Wendy Davila.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20260316113251
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: SPRING SENIOR ASSISTED LIVING
FACILITY NUMBER: 198204079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2026
Section Cited
CCR
87468.1
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87468.1 Personal Rights of Residents in All Facilities(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money....This requirement is not met as evidenced by:
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Administrator will conduct an in service training/meeting regarding review of resident's personal rights and will submit the sign in sheet to LPA via email to: Elvira.Gonzalez@dss.ca.gov by POC due date, 05/07/26
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Based on interviews conducted, the licensee failed to ensure resident's personal rights due to 3 out of 5 residents reported missing cash and/or personal belongings from their bedrooms. This poses a personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5