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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198204399
Report Date: 08/31/2026
Date Signed: 09/01/2026 10:11:10 AM

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
11/20/2025 and conducted by Evaluator Jose Anguiano
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251120153104
FACILITY NAME:VILLA REDONDO CARE HOMEFACILITY NUMBER:
198204399
ADMINISTRATOR:MARIA BRAVOFACILITY TYPE:
740
ADDRESS:237 REDONDO AVENUETELEPHONE:
(562) 434-9931
CITY:LONG BEACHSTATE: CAZIP CODE:
90803
CAPACITY:80; 80CENSUS: 56DATE:
08/31/2026
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Jesus ChavezTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Staff did not allow resident to get their personal belongings
INVESTIGATION FINDINGS:
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On 08/14/2026 around 8:00AM, Licensing Program Analyst (LPA) Jose Anguiano conducted a subsequent unannounced visit to deliver findings. LPA met with the Assistant Administrator Jesus Chavez. LPA Anguiano explained the purpose of this visit is to deliver findings.

The investigation consisted of the following:
On 11/25/2025, 07/23/2026, and 08/04/2026 The Department conducted interviews with former Administrator Maria Bravo (A1), Assistant Administrator/Jesus Chavez (S1), and Jared Mikos/Director of Operations (S2), Skill nursing representative (W1), staff members (S3–S6), and residents (R1-R9). On 11/25/2025 The department obtained and reviewed resident (R1) Wellness Program Daily Logs dates ranging from 03/30/24 to 06/12/24, Nurse Facility Skin Integrity Report dated 03/08/24. Staff & Resident rosters dated 11/25/25, R1’s Physician's Report 10/05/022.
Please see report continuation on (LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026
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 2
Control Number 11-AS-20251120153104
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: VILLA REDONDO CARE HOME
FACILITY NUMBER: 198204399
VISIT DATE: 08/31/2026
NARRATIVE
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The Department conducted additional interviews with eight residents (R2, R3, R4, R6, R7, R8, and R9) and found 7 of 8 residents interviewed did not support the allegation. The department found 1 out of 9 residents (R5) interviewed had no knowledge of any resident being unable to retrieve their personal belongings.
On 11/25/2025 and 08/04/26, the Department obtained Resident Personal Property and Valuables form dated 04/14/2021. The department found this R1 crossed out the form and declined to have personal belongings inventoried. Villa Redondo Care Facility records show that on 05/13/2024, staff contacted R1 and requested that R1 arrange for pickup of the belongings. R1 refused and ended the call. Follow-up calls on 05/17/2024 at 3:21 PM and 05/30/2024 at 11:33 AM went to voicemail. On 06/12/2024 at 2:28 PM, staff spoke with R1, who refused to provide a delivery address, used profanity, told the facility to keep the items, and declined staff’s offer to pack and deliver the belongings.
Based on the evidence gathered, interviews conducted, and records reviewed, although the allegation “Staff did not allow resident to get their personal belongings” 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 this complaint Report was provided to the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026
LIC9099 (FAS) - (06/04)
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