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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198204848
Report Date: 08/12/2026
Date Signed: 08/12/2026 01:16:02 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, 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
08/07/2026 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 11-AS-20260807135649
FACILITY NAME:PLD FAMILY HOME CAREFACILITY NUMBER:
198204848
ADMINISTRATOR:PRECIOUS DENNISFACILITY TYPE:
740
ADDRESS:139 WEST ELLIS AVENUETELEPHONE:
(310) 419-5829
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:6CENSUS: 5DATE:
08/12/2026
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Precious DennisTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Facility does not provide resident paperwork.
INVESTIGATION FINDINGS:
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On August 12, 2026, Licensing Program Analyst (LPA) Antonine Richard initiated a visit regarding the above allegation. LPA Richard met with Precious Dennis, Administrator, explained the purpose of the visit, and was granted entry to the facility.

The investigation consisted of the following: On August 12, 2026, LPA Richard reviewed and obtained the following documents as part of the investigation: Personnel Report and Resident Roster, and requested documents for resident #1 (R1), including Admission Agreement, Identification and Emergency Information, Physician’s Report, Durable Power of Attorney, and Healthcare Agent. LPA reviewed and obtained text message communications from POA and A1. LPA also interviewed the Administrator (A1), one staff member (S1), and five residents (R1-R5).

Report continued on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
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 3
Control Number 11-AS-20260807135649
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: PLD FAMILY HOME CARE
FACILITY NUMBER: 198204848
VISIT DATE: 08/12/2026
NARRATIVE
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Allegation #1: Facility does not provide resident paperwork.

The complaint alleged that the power of attorney (POA) requested the facility file for resident #1 (R1) on July 22, 2026, and asked to collect the documents within a couple of weeks. However, when the POA attempted to pick up the documents on August 1, 2026, they were not ready.

On August 12, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation. A1 stated that they received the POA's request for R1's file, and it was agreed that the POA would pick it up in the next couple of weeks. However, on August 1, 2026, at 1:22 PM, A1 received a text message from the POA indicating they would be visiting R1 and would pick up the documents that day. A1 responded, welcoming the visit but informing the POA that the documents would be ready on Tuesday, August 4, 2026, which was earlier than the date originally agreed upon.

On August 12, 2026, the LPA conducted interviews with one staff member (S1) and five residents (R1-R5). S1 stated that they do not access resident personnel records to protect privacy. The residents (R1-R5) expressed satisfaction with their living conditions, noting that staff treat them well. They also mentioned that if they need assistance, A1 would print documents if they asked.

Report continued on LIC9099C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260807135649
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: PLD FAMILY HOME CARE
FACILITY NUMBER: 198204848
VISIT DATE: 08/12/2026
NARRATIVE
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Additionally, the LPA reviewed text communications between the POA and A1, which indicated that certain documents would be picked up within the next couple of weeks. During today's visit, the LPA also observed a sealed envelope addressed to the POA, dated August 4, 2026.

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.

No deficiencies were cited.

An exit interview conducted. A copy of this report was provided to the Administrator Precious Dennis.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3