198204972-1-23-2026-11-AS-UCOL-DRFT3S-20260219132248

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198204972
Report Date: 01/23/2026
Date Signed: 01/23/2026 02:07:48 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
12/18/2025 and conducted by Evaluator Socorro Leandro

COMPLAINT CONTROL NUMBER: 11-AS-20251218122037

FACILITY NAME:	ROSECRANS VILLA RESIDENTIAL CARE		FACILITY NUMBER:	198204972
ADMINISTRATOR:	SANDRA LOPEZ		FACILITY TYPE:	740
ADDRESS:	14110 CORDARY AVENUE		TELEPHONE:	(310) 675-9163
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	135	CENSUS: 109	DATE:	01/23/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator - Sandra Lopez		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not ensure that the resident's hygiene care needs were properly met at the facility

INVESTIGATION FINDINGS:

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On 1/23/2026, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced subsequent complaint investigation visit regarding the allegation listed above. LPA met with the Administrator, Sandra Lopez, and the purpose of the visit was explained. LPA was granted entry to the facility.

Investigation consisted of the following: On 12/23/2025, a facility tour was conducted, interviews were conducted, and records were gathered. Resident 2 (R2) to Resident 11 (R11) and Staff 1 (S1) to Staff 4 (S4) were interviewed. On 1/23/2026, records were reviewed and Resident 1 (R1) and Staff 5 (S5) were interviewed. Facility records reviewed consisted of Resident Roster dated 12/2025, Employee Roster dated 7/2025, and Weekly Shower Schedules. Resident 1’s (R1) records were reviewed which consisted of Admission Agreement dated 5/8/2025, Physicians Report dated 5/8/2025, Appraisal/Needs And Services Plan dated 5/8/2025, Appraisal/Needs And Services Plan dated 1/20/2026, Unusual Incident Reports for the year 2025, Medical Documentation and other pertinent information.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

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-20251218122037

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: ROSECRANS VILLA RESIDENTIAL CARE	FACILITY NUMBER: 198204972
	VISIT DATE: 01/23/2026

NARRATIVE

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The investigation revealed the following:

Allegation: “Staff did not ensure that the resident's hygiene care needs were properly met at the facility”, it is being alleged that R1’s hygiene care needs are not properly met at the facility. Interviews conducted with R1 to R11 revealed the following: 11 out of 11 residents denied the allegation, furthermore, R1 indicated that staff assist them with showers 2 to 3 times a week and staff assist them with picking out their clothing items each morning. Interviews conducted with S1 to S5 revealed the following: 5 out of 5 staff denied the allegation. Observations of residents revealed the following: On 12/23/2025, many residents were observed well groomed (for the residents that were not well groomed, residents indicated that facility staff assisted them with dressing in the morning and/or they had soiled their clothing after breakfast). On 1/23/2026, R1 was observed well groomed. Weekly Shower Schedules revealed the following: R1 receives assistance with showers on Tuesdays and Fridays. Residents that receive assistance with showers range from once a week to three times a week. R1’s Appraisal/Needs And Services Plan revealed the following: “Resident will be encouraged to remain as independent as possible and to complete their activities of daily living to the best of their ability…Resident will be encouraged to maintain good hygiene by bathing regularly”…person responsible “staff.” R1’s Physicians Report dated 5/8/2025 revealed the following: R1 is able to dress/groom self with assistance but R1 requires assistance with bathing. Based on the department’s observations, interviews, and records reviewed this allegation is unsubstantiated. 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 was conducted, and a copy of this report was left with the Administrator, Sandra Lopez.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

LIC9099 (FAS) - (06/04)

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