198320410-7-17-2026-11-AS-SCIS-DWF2MU-20260728173143

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320410
Report Date: 07/17/2026
Date Signed: 07/17/2026 04:22:42 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: 3	DATE:	07/17/2026
		UNANNOUNCED	TIME BEGAN:	03:11 PM
MET WITH:	ADERRA YOHANNES - LICENSEE		TIME COMPLETED:	04:30 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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**This report does not supersede the complaint investigation conducted on 03/19/2026 but is used to clarify findings. **

On 07/17/2026 LPA Watson conducted a complaint visit to the facility listed above. LPA Watson met with the licensee, 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, Physician’s Report dated 07/13/2025, Personal Rights dated 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: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

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-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: 07/17/2026

NARRATIVE

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On 03/17/2026, The department conducted interviews with Staff #1–#3 (S1–S3) and Residents #1, #3, #4 #5 (R1–R5) including the conservator for R2 Witness#1 (W1) was also interviewed.

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 08:16 AM and 04:50 PM, LPA Watson conducted an interview with the licensee (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 chicken, beef, eggs, salads, steamed vegetables, rice, beans, fruit cups, apples, oranges, and yogurt. S1 stated that residents are given choices according to their preferences and that meals are adjusted when residents request alternatives. S1 stated 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 stated that facility staff makes efforts to accommodate R1’s food preferences because he is a selective eater.

On 03/17/2026, The department conducted interviews with Staff #1–#3 (S1–S3) and Residents #1, #3, #4 #5 (R1–R5). Out of those interviewed 3 out of 3 staff, 4 out of 4 residents and the conservator for R2 Witness#1 (W1) also denied the above allegation.

On 03/19/2026, the department obtained and reviewed the Suggested Menu Items for R1. The review showed that the facility provides breakfast items such as eggs, toast, fruit, and oatmeal; lunch items such as sandwiches, salads, rice, and vegetables; and dinner items such as baked chicken, pasta, mixed vegetables, rice, and beans. The department reviewed Daily activity records which also showed R1 consistently received snacks including fruit cups, yogurt, crackers, and juice upon request.
The department reviewed California Code of Regulations, Title 22, Division 6 Chapter 8 Article 10 Food services 87555 General Food Service Requirements, which requires facilities to provide well balanced meals, including fruits, vegetables, protein, whole grains, and adequate fluid intake. Based on interviews, record reviews, and observations, R1's meals and hydration opportunities were found to be consistent with Title 22 requirements.
CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

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: 07/17/2026

NARRATIVE

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The department obtained and reviewed a copy of the facility menu and it showed a monthly/weekly listing of breakfast, lunch and dinner for R1 and it is was found to be consistent with Title 22 87555 General Food Service requirements.
Based on interviews, record reviews, observations, and the information gathered, there is insufficient evidence to support the allegation that “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.

On 03/19/2026 between 08:16 AM and 04:50 PM, LPA Watson conducted interviews with the licensee (S1). During the interview, the department asked S1 if staff provided R1 with privacy during phone calls and S1 stated 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 stated 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 03/17/2026, The department conducted interviews with Staff #1–#3 (S1–S3) and Residents #1, #3, #4 #5 (R1,R3,R4, R5). Out of those interviewed 3 out of 3 staff, and 4 out of 4 residents including the conservator for R2 Witness#1 (W1) denied the above allegation.
On 03/19/2026, the department obtained and reviewed the Telecommunications Device Notification for R1. This document stated that any deaf, 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. Out of those interviewed, staff and residents stated there are no phone restrictions enforced by the facility, and residents confirmed they can make private phone calls.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

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: 07/17/2026

NARRATIVE

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Based on interviews, records, and observations, R1 is permitted to make and receive private calls, and assistance is provided only when needed for hearing or technical reasons. There is insufficient evidence to support the allegation that “Staff do not provide residents with privacy phone calls.” Therefore, the allegation is deemed Unsubstantiated.

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

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

LIC9099 (FAS) - (06/04)

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