198320127-10-17-2025-11-AS-EMAZ-DNLS26-20251120122902

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320127
Report Date: 10/15/2025
Date Signed: 10/17/2025 07:42:28 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
10/10/2025 and conducted by Evaluator Alfonso Iniguez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20251010120127

FACILITY NAME:	CALLIGRAPHY WESTWOOD VILLAGE		FACILITY NUMBER:	198320127
ADMINISTRATOR:	STEPHANIE KOFFMAN		FACILITY TYPE:	740
ADDRESS:	947 TIVERTON AVENUE		TELEPHONE:	(310) 208-4590
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90024
CAPACITY:	237	CENSUS: 162	DATE:	10/15/2025
		UNANNOUNCED	TIME BEGAN:	08:28 AM
MET WITH:	Stephanie Walters/Executive Director		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff financially abused resident

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 10/15/2025 at approximately 9:00 am, LPA Alfonso Iniguez conducted an unannounced initial complaint visit. LPA Iniguez met with Stephanie Walters / Executive Director. LPA Iniguez explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Administrators Interview (A#1), Residents Interview (R#1 and R#2), Witnesses Interviews (W#1 and W#2) and Facility Staff (S#1-S#5). LPA obtained and reviewed the following documents: Resident Roster dated: 10/15/25, Staff Roster or LIC 500 dated: 10/15/25.

Evaluation Report continues LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

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-20251010120127

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: CALLIGRAPHY WESTWOOD VILLAGE	FACILITY NUMBER: 198320127
	VISIT DATE: 10/15/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Investigation Revealed the Following:

Allegation: Staff financially abused resident

The details of the complaint alleged that (R#1 and R#2)’s caregiver (C#1) financially abusing them.

On October 15, 2025, at approximately 1:00 PM, during the records review, LPA Iniguez reviewed the Staff Roster or LIC 500 dated: 10/15/25, LPA Iniguez observed that (C#1) is not listed on it.

On October 13, 2025, at approximately 11:00 AM, Licensing Program Analyst (LPA) Alfonso Iniguez contacted Witness 1 (W#1) via telephone. LPA Iniguez introduced himself and explained that the purpose of the call was to gather additional information regarding an allegation of financial abuse involving Caregiver 1 (C#1) and Residents 1 and 2 (R#1 and R#2). On October 14, 2025, (W#1) confirmed that (C#1) is an outside caregiver who was privately contracted by the family of (R#1 and R#2) and clarified that (C#1) is not employed by the facility.

On October 15, 2025, at approximately 10:30 AM, during an interview with (A#1), she stated that Caregiver 1 (C#1) is not a facility employee. (A#1) further explained that the facility had only recently become aware of the situation involving (C#1), allegedly financially abusing (R#1 and R#2) and during a conversation with (R#1 and R#2), (A#1) learned that the residents reported experiencing financial issues, including unexpected charges on food delivery applications, which they believed were made by (C#1).

On October 15, 2025, at approximately 1:00 PM, LPA Iniguez spoke with (R#1). They reported that they had hired (C#1) as a private caregiver and companion, clarifying that (C#1) was not an employee of the facility. Additionally, (R#1) mentioned that (C#1) used to run errands, purchase items online, and order food through phone apps. However, they decided to terminate (C#1)'s services after noticing discrepancies in their credit card statements.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20251010120127

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: CALLIGRAPHY WESTWOOD VILLAGE	FACILITY NUMBER: 198320127
	VISIT DATE: 10/15/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

On October 15, 2025, at approximately 11:30 AM, during an interview with Witness 2 (W#2), they stated that that Caregiver 1 (C#1) was hired by Residents 1 and 2 (R#1 and R#2) in February of this year. Additionally, (W#2) confirmed that (C#1) is not an employee of the facility.

On October 15, 2025, at approximately 12:00 PM, during an interview with the facility staff (S#1-S#5), (5) out of (5) stated that (C#1) was a private caregiver/companion hired by (R#1 and R#2) who used to run errands for them. Also, (5) out of (5) facility staff stated that (C#1) was not a facility employee.

During this investigation, LPA did not find sufficient evidence to support the above-mentioned allegation(s).

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, and a copy of the Complaint Report was given to Stephanie Walters/Executive Administrator.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3