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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320197
Report Date: 05/07/2026
Date Signed: 05/07/2026 04:38:46 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
12/24/2025 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20251224100506
FACILITY NAME:PLAZA AT WESTWOOD, THEFACILITY NUMBER:
198320197
ADMINISTRATOR:LUZ EMMA ROSEFACILITY TYPE:
740
ADDRESS:2228 WESTWOOD BLVDTELEPHONE:
(310) 475-8861
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:136; 136CENSUS: 66DATE:
05/07/2026
UNANNOUNCEDTIME BEGAN:
10:17 AM
MET WITH:Selena CruzTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff did not ensure that facility has adequate lighting.
Staff did not prevent facility from being in disrepair.
Staff are not serving an adequate amount of food portions to residents in care.
INVESTIGATION FINDINGS:
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On 05/07/2026, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Complaint Visit to the facility listed above. LPA met with Selena Cruz, Assistant Administrator, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The investigation consisted of the following:
During today’s visit, LPA interviewed Staff S7, and delivered findings.
During a subsequent visit conducted on 03/27/2026, LPA inspected the facility, watched lunch service prepared and served, interviewed Staff S1-S6, interviewed Resident’s R2-R7, and received a Staff Roster, Resident Roster, Maintenance Logs, and Kitchen Santation Checklist.
During the initial visit conducted on 12/30/2025, LPA received and reviewed documents pertinent to the investigation. The documents consist of: Staff Roster, Resident Roster, Admission Agreement, House Rules, Needs and Service Plan, Physician’s Report, and Menu.
The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026
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-20251224100506
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: PLAZA AT WESTWOOD, THE
FACILITY NUMBER: 198320197
VISIT DATE: 05/07/2026
NARRATIVE
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Allegation: Staff did not ensure that facility has adequate lighting
The allegation alleges that the smoking area does not have adequate lighting causing a resident to fall and hit their head.
During the facility inspection, LPA observed all walkways, hallways, common areas, and parking garages have adequate lighting.
During record review, LPA received and reviewed an Unusual Incident/Injury Report, dated 08/22/2025, indicating R1 experienced a fall while in the garage and hit their head.
Additionally, LPA received and reviewed Maintenance Logs and did not observe any Notes/Comments regarding the lighting being out or inadequate in the parking garages.
During interviews with Staff S1-S7, were asked if all areas in the facility, including the packing garages, have adequate lighting, seven (7) out of seven (7) stated yes, all areas have adequate lighting.
During interviews with Residents R2-R7, were asked if they feel all walkways, common areas, and the garages have ample lighting, six (6) out of six (6) stated yes, all areas are well lit.
Allegation: Staff did not prevent facility from being in disrepair
The allegation alleges a pipe was broken and caused water to get on the floor.
During the facility inspection, LPA observed walls and floors in good repair. LPA did not observe any water damage on the walls, ceilings, or floor.
During record review, LPA received and reviewed Maintenance Logs that indicate repairs have been made on the pipes. On 11/02/2025, maintenance checked the shower in R1’s room due to the water not draining. According to the notes, “the shower pipe was checked and everything works fine.” Maintenance explained to R1’s private caregiver why the water is retained in the shower and showed how to run the water to ensure it drains properly. On 02/27/2026, maintenance checked on a reported leak in room 205. Maintenance reported the carpet was wet and needed to be replaced. Resident R2, was relocated to another room. On 03/04/2026, maintenance replaced the carpet with flooring. On 03/05/2026, maintenance removed the sink, cabinets, shower, lower walls, to ensure the leak was fixed and ensure no damage was sustained, and then replaced it.
During interviews with Staff S1-S7, were asked if there have been any ongoing issues with the plumbing, seven (7) out of seven (7) stated no, there have been no ongoing issues with the plumbing. Additionally, S1 stated they have had a few instances where residents have flushed underwear or diapers down the toilet, which has caused plumbing issues in the past but nothing maintenance could not fix.
During interviews with Residents R2-R7, were asked if they felt the facility is in disrepair, four (4) out of six (6) stated no, the facility is not in disrepair. Two (2) out six (6) stated the plumbing will sometimes back up.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20251224100506
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: PLAZA AT WESTWOOD, THE
FACILITY NUMBER: 198320197
VISIT DATE: 05/07/2026
NARRATIVE
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Additionally, Resident R2-R7 were asked if there has been any flooding or molding, six (6) out of six (6) stated no, there has been no flooding or mold. Two (2) out of six (6) residents stated there have been leaks but they were fixed right away and the area was cleaned and scrubbed to help minimize the possibility of mold. One (1) out of six (6) residents stated they once left their window open while it was raining, staff noticed it, had the area cleaned, and staff scrubbed the walls to minimize the possibility of mold.

Allegation: Staff are not serving an adequate amount of food portions to residents in care.


The allegation alleges that the facility is serving small portions of food.
During the facility inspection, LPA observed the lunch service being served. LPA observed kitchen staff using 4-ounce ice cream scoopers to serve sides and they received 2 to 3 chicken tenders, depending on the resident’s request. LPA observed chicken salad and sandwiches available if a resident wanted an alternative meal. Residents were provided with a second serving if they requested. Posted on a wall in the kitchen, LPA observed a chart with Serving Size Recommendations.
During record review, LPA received and reviewed R1’s Admission Agreement, dated 08/30/2022, that states on page 3, listed under Basic Service Included in the Monthly Fixed Fees: “Food and Dietary Service – Three nutritional meals daily and available snacks throughout the day.”
During interviews with Staff S1-S6, were asked if residents are provided with an ample amount of food throughout the day, six (6) out of six (6) stated yes, residents are provided with an ample amount of food including breakfast, lunch, dinner, and snacks.
During interviews with Residents R2-R7, were asked if they are provided with three meals and snacks daily, six (6) out of six (6) stated yes, they receive enough food throughout the day. Additionally, residents R2-R7 were asked if they receive an adequate portion of food during meals, six (6) out of six (6) stated yes, they receive adequate portions.

During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are unsubstantiated.

LPA did not observe or cite any deficiencies.


An exit interview was conducted with Selena Cruz, Assistant Administrator, and a copy of this report was provided.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3