198320410-3-19-2026-11-AS-SCIS-DWF2MV-20260728173143

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320410
Report Date: 03/19/2026
Date Signed: 03/19/2026 04:50:27 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
03/11/2026 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260311094348

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:	03/19/2026
		UNANNOUNCED	TIME BEGAN:	08:16 AM
MET WITH:	Aderra Yohannes - Owner		TIME COMPLETED:	04:50 PM

ALLEGATION(S):

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Staff do not ensure that resident's dietary needs are met.
Staff do not provide resident with privacy during phone calls.

INVESTIGATION FINDINGS:

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On 03/19/2026 between 08:16 AM and 04:50 PM, LPA Troy Watson conducted an initial complaint visit. LPA Watson met with the Owner Aderra Yohannes and explained the purpose of the visit. LPA Watson was granted entry into the facility.

The investigation consisted of the following:

On 03/19/2026 LPA Watson requested, and obtained copies of the following documents: Staff Roster, Personnel Report, Appraisal/Needs and Services Plan dated 07/13/2025 for R1, Telecommunications Device Notification, Physicians Report dated 07/13/2025, Personal Rights 10/03/2024, Gelila’s Daily Activities for R1 dated 01/05/2026 to 03/02/2026, and Gelila Residential Care Suggested Menu for R1,

CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

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-20260311094348

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: 03/19/2026

NARRATIVE

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Allegation: Staff do not ensure that residents’ dietary needs are met

It is alleged that staff do not ensure that R1’s dietary needs are met, including concerns about inadequate meal variety, hydration, and lack of fruits and vegetables.
On 03/19/2026 between 08:16AM and 04:15 PM LPA Watson conducted interviews with Staff #1 - (S1-S4) and Residents #1- #3 (R1- R3).

On 03/19/2026, between 08:16 AM and 04:50 PM, LPA Watson conducted an interview with the Owner (S1). During the interview, LPA Watson asked S1 if staff ensured that R1’s dietary needs were met. S1 stated that the facility provides residents with three daily meals and snacks, offering a variety of foods such as vegetables, rice, beans, salads, fruits, and proteins. S1 also stated that residents are given choices according to their preferences and that meals are adjusted when residents request alternatives. S1 also said that staff do not serve cereal or oatmeal for dinner unless a resident specifically requests it. S1 confirmed that no residents have special diets prescribed by a physician, except that R1 must avoid grapefruit due to a medication interaction. S1 reported that staff make efforts to accommodate R1’s food preferences because he is a selective eater.

On 03/19/2026, LPA Watson obtained and reviewed the Suggested Menu Items for R1. The review showed that the facility provides a variety of normal foods for R1 for breakfast, lunch, and dinner. An interview with staff revealed that R1 was consistently given snacks at the facility whenever R1 requests.
Based on interviews, record reviews, observations, and the information gathered, there is insufficient evidence to support the allegation that staff “Staff do not ensure that residents’ dietary needs are met.” 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 provide residents with privacy during phone calls

It is alleged that staff do not provide R1 with privacy during phone calls, because staff reportedly place his cell phone on speaker mode when R1 answers his phone calls.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260311094348

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: 03/19/2026

NARRATIVE

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On 03/19/2026 between 08:16AM and 04:50 PM LPA Watson conducted interviews with the Owner (S1). During the interview LPA Watson asked S1 if staff provided R1 with privacy during phone calls and S1 said Staff reported that residents are allowed to use either the house phone or their personal phones in private. Staff stated that R1 is permitted to make and receive calls privately and that assistance is provided only when R1 is unable to operate his personal phone or when his conservator contacts the facility directly. Staff reported that when assisting R1, calls are placed on speaker, solely to allow him to hear the caller due to his hearing needs, after which R1 is given privacy by speaking in another room or by staff leaving the area.
On 03/19/2026 LPA obtained and reviewed the Telecommunications Device Notification for R1, and it stated that any deaf or hearing impaired or otherwise impaired resident of any community care facility is entitled to equipment and service, pursuant to Section 2881 of the California Public Utilities Code, to improve the quality of their telecommunications. Based on interviews with the residents and staff there are no phone restrictions enforced by the facility.

Based on interviews, record reviews, observations, and the information gathered, there is insufficient evidence to support the allegation that Staff do not provide residents with privacy during phone calls. 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 Owner Aderra Yohannes and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

LIC9099 (FAS) - (06/04)

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