198204950-5-13-2026-11-AS-PMAA-DV7K4V-20260619073500

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204950
Report Date: 05/13/2026
Date Signed: 05/13/2026 04:11:57 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
05/08/2026 and conducted by Evaluator Jose Anguiano

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260508164855

FACILITY NAME:	CARSON SENIOR ASSISTED LIVING		FACILITY NUMBER:	198204950
ADMINISTRATOR:	SHOLOM GOLDMAN		FACILITY TYPE:	740
ADDRESS:	345 EAST CARSON STREET		TELEPHONE:	(310) 830-4010
CITY:	CARSON	STATE: CA	ZIP CODE:	90745
CAPACITY:	230	CENSUS: 168	DATE:	05/13/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Ginger Enriquez		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff do not ensure resident is eating
Staff are leaving residents in soiled briefs
Staff are sleeping in a resident's room while on duty

INVESTIGATION FINDINGS:

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On 05/13/2026, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced complaint investigation visit regarding the allegations above. LPA met with Assistant Administrator Ginger Enriquez.

The investigation consisted of the following: The department interviewed ten (10) staff members (S1-S10), eleven (11) residents (R1-R11), observations of the facility including the television room and common areas, memory care unit and assisted living side, Staff & Resident roster, resident file, Food policy, food menu for May 2026 and Monitoring logs for (AM-PM) and (GY) Graveyard shifts were collected.
The investigations revealed the following: Regarding the allegation that staff do not ensure residents are eating, staff interviews conducted with (10) Staff (S1-S10) stated residents are provided meals, snacks, and assistance as needed. Resident interviews conducted with (11) Residents (R1-R11) confirmed residents receive meals daily. Resident (R2) stated receiving meals at the facility. No residents interviewed reported being denied food assistance.
Please see report continuation (LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260508164855

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: CARSON SENIOR ASSISTED LIVING	FACILITY NUMBER: 198204950
	VISIT DATE: 05/13/2026

NARRATIVE

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Observations revealed: kitchen staff plating and serving food to residents during lunchtime. Food menu for 05/13/2026 confirmed the lunch items that were observed. Based on the evidence gathered, interviews conducted, observations made, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated.

Regarding the allegation that staff are leaving residents in soiled briefs, staff interviews conducted with (10) Staff (S1-S10) stated incontinent residents are checked and changed routinely approximately every one to two hours or as needed. Interviews with (11) Residents (R1-R11) did not agree with being left in soiled briefs for extended periods. No odors or unattended incontinent residents, or conditions indicating residents were being left in soiled briefs were observed. A review of resident monitoring and incontinence care logs dated 05/08/2026 documented routine resident checks, repositioning, toileting assistance, and monitoring conducted throughout (AM-PM), and graveyard shifts. Based on the evidence gathered, interviews conducted, observations made, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated.

Regarding the allegation that staff are sleeping in a resident’s room while on duty, interviews conducted with (10) Staff (S1-S10) and (11) Residents (R1-R11) did not agree or report any knowledge of the allegation. Staff members (S8-S9) denied sleeping in resident rooms while on duty. Additional staff interviews indicated (S8-S9) were not assigned to the memory care unit and had not worked in that unit for several months. Based on the evidence gathered, interviews conducted, observations made, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated.

No deficiencies were cited on this visit. A copy of this report and exit interview were provided to the Assistant Administrator.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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