198320410-3-17-2026-11-AS-SCIS-DWF2SH-20260728173907

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320410
Report Date: 03/17/2026
Date Signed: 03/17/2026 04:52:27 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
03/09/2026 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260309083113

FACILITY NAME:	GELILA RESIDENTIAL CARE FACILITY		FACILITY NUMBER:	198320410
ADMINISTRATOR:	YOHANNES, CHRISTIAN		FACILITY TYPE:	740
ADDRESS:	3521 7TH AVE		TELEPHONE:	(310) 877-9395
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90018
CAPACITY:	6	CENSUS: 5	DATE:	03/17/2026
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Aderra Yohannes - OWNER		TIME COMPLETED:	04:51 PM

ALLEGATION(S):

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Facility staff is financially abusing resident.
Facility staff are not treating residents with dignity and respect.
Facility staff did not ensure resident was using medical device as prescribed.
Staff do not schedule structured activities for residents.

INVESTIGATION FINDINGS:

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On 03/17/2026 at approximately, LPA Troy Watson conducted an initial complaint visit. LPA Watson met with the Owner Ada Yohannes and explained the purpose of the visit. LPA Watson was granted entry.

The investigation consisted of the following: On 03/17/2026 LPA Watson requested, obtained and reviewed copies of the following documents: Personnel Report dated 06/10/25 and Resident Roster 2026, House Rules for R1,R4, R5, Admission Agreements dated 03/29/25,08/15/24, 10/03/24, Personal Rights for R1,R4,R5, Unusual Incidents Report for R1,R4 ,R5, Telecommunication Device Notifications for R1,R4,R5, Continued Monthly Resident for R3 dated 01/31/26, Care Facility LLC Invoices for R1, R4,R5 and Residential Care Facility Agreement (CA Provider Contract),Gmail: email correspondence InnoVage decrease in payments email dated 02/16/2026 and Gmail: email correspondence Invoice needed dated 03/13/2026.

CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026

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 4

Control Number 11-AS-20260309083113

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: GELILA RESIDENTIAL CARE FACILITY	FACILITY NUMBER: 198320410
	VISIT DATE: 03/17/2026

NARRATIVE

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investigation revealed the following:

Allegation: Facility staff are financially abusing a resident

It is alleged that facility staff are financially abusing R1 by withholding or misrepresenting the receipt of their monthly rent grant funds.

On 03/17/2026, between 8:45 AM and 4:00 PM, LPA Watson interviewed the Administrator (A1). A1 was asked whether they were aware of any situations in which staff accessed, handled, or used a resident’s money or personal belongings without permission. A1 stated there have been no such incidents. A1 further explained that the facility does not handle R1’s money or keep any resident funds on site, as payments to the facility are made directly through InnovAge, and family members submit electronic payments via Zelle.
On 03/17/2026 LPA Watson conducted interviews with Staff #1-#3 (S1-S3) and Residents #1 - 5 (R1- R5). Out of 3 staff members interviewed, 3 out of 3 staff denied the above allegation. Out of 5 residents interviewed 5 out of 5 residents denied the above allegation.

On 03/172026 LPA Watson reviewed Gmail correspondence, including an InnovAge payment decrease email dated 02/16/2026, which showed a total of $2,234 due to Gelila for January. A second email dated 03/13/2026 indicated that InnovAge agreed to pay the remaining balance owed to Gelila Residential and requested invoices to confirm the outstanding amount.

Based on interviews, record reviews, observations, and the information gathered, there is insufficient evidence to support the allegation that staff unlawfully evicted a resident. Although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.

Allegation: Facility staff are not treating residents with dignity and respect

It is alleged that facility staff are not treating R1 with dignity and respect, including turning off their television, restricting phone use, and refusing to provide the Wi Fi password.

CONTINUED ON LIC9099 -C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20260309083113

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: GELILA RESIDENTIAL CARE FACILITY	FACILITY NUMBER: 198320410
	VISIT DATE: 03/17/2026

NARRATIVE

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On 03/17/2026 between 8:45 AM and 4:00 PM, LPA Watson interviewed the Administrator (A1). When asked whether they had ever observed staff speaking to residents or interacting with them in a disrespectful manner or in a way that violated personal rights, A1 stated no. A1 was also asked whether R1 had been disrespected, by having his television turned off, his phone use restricted, or being denied the Wi Fi password. A1 stated that community TV is not permitted after 9:00 PM, however, R1 may watch TV in his bedroom. A1 further stated that the Wi Fi password is available to all residents and that R1 has his own cell phone, which he may use at any time.

On 03/17/2026 LPA Watson conducted interviews with Staff #1-#3 (S1-S3) and Residents #1 - 5 (R1- R5). Out of 3 staff members interviewed, 3 out of 3 staff denied the above allegation. Out of 5 residents interviewed 5 out of 5 residents denied the above allegation.
LPA Watson reviewed R1’s Telecommunications Device Notification dated 08/15/2024, which shows on page two, item 14, that R1 is allowed access to telephones to make and receive confidential calls. LPA also reviewed the House Rules, which state on line 4 that community TV use must be respectful, with no violent movies and appropriate volume control.

Based on interviews, record reviews, observations, and the information gathered, there is insufficient evidence to support the allegation that staff unlawfully evicted a resident. Although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.

Allegation: Facility staff did not ensure a resident was using a medical device as prescribed

It is alleged that facility staff did not ensure R1 used his prescribed medical devices as required.
On 03/17/2026 at 8:45 AM and 4:00 PM, LPA Watson interviewed the Administrator (A1). When asked what staff do to ensure residents use their prescribed medical devices correctly and consistently as ordered by their physician, A1 stated that all staff are trained and assist R1 each night by adding distilled water to his CPAP machine and inserting the duodenal tubes into his nostrils at bedtime.
On 03/17/2026 LPA Watson conducted interviews with Staff #1-#3 (S1-S3) and Residents #1 - 5 (R1- R5). Out of 3 staff members interviewed, 3 out of 3 staff denied the above allegation. Out of 5 residents interviewed 5 out of 5 residents denied the above allegation.
CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20260309083113

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: GELILA RESIDENTIAL CARE FACILITY	FACILITY NUMBER: 198320410
	VISIT DATE: 03/17/2026

NARRATIVE

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LPA Watson toured the facility with the owner and observed R1’s CPAP machine in his bedroom. The machine appeared clean, operational, and in good repair, with a clean bottle of distilled water placed next to it.
Based on interviews, record reviews, observations, and the information gathered, there is insufficient evidence to support the allegation that staff unlawfully evicted a resident. Although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.

Allegation: Staff do not schedule structured activities for residents

It is alleged that facility staff do not provide or schedule structured activities for residents.
The facility also provides an activity area with games and a television, outdoor walking areas, a backyard, and community outings for residents, including those who use wheelchairs.

On 03/17/2026 LPA Watson conducted interviews with Staff #1-#3 (S1-S3) and Residents #1 - 5 (R1- R5). Out of 3 staff members interviewed, 3 out of 3 staff denied the above allegation. Out of 5 residents interviewed 5 out of 5 residents denied the above allegation.
LPA Watson interviewed R1 and asked about the types of activities offered each day and whether there is a structured activity schedule. R1 stated that they go to Day Care, watch TV, and go to restaurants and parks with their daughter.

Based on interviews, record reviews, observations, and the information gathered, there is insufficient evidence to support the allegation that staff unlawfully evicted a resident. Although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.

No deficiencies were cited, and no citation was issued.

An exit interview was conducted with the Administrator Aderra Yohannes and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026

LIC9099 (FAS) - (06/04)

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